Hepatic steatosis with none of the risk factors?

Posted by caliope @caliope, May 19 4:11pm

Hi all, I am brand new and did a small search for this topic, but didn’t find anything. My 23 year old son was just diagnosed with hepatic steatosis, as found through annual blood work and follow up ultrasound. My concern is that he’s truly has none of the risk factors and we are at a loss as to why this is happening. He is very fit, doesn’t drink alcohol or sodas, only water. He lives at home and I cook primarily a vegetarian/chicken and turkey diet with olive oil only. All other labs are normal..is this just genetic? Although no one else in the family has had liver disease. I’m freaking out a bit, so any advice is helpful, thank you!

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@tillymack absolutely! In fact we would love to take him to Mayo for a full work up, but he’s hesitant as we just got the diagnosis yesterday. We’re in Illinois but would travel anywhere for him. Thank you for the suggestion

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@caliope
Has he had repeat blood tests? If yes, is it getting better or worse? My elevated liver enzymes were ALT and AST. I had a repeat blood test 2 weeks later and the results were more elevated. I then read and implemented everything I could related to fatty liver. That said, the third test 4 weeks later was normal.

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@caliope
Has he had repeat blood tests? If yes, is it getting better or worse? My elevated liver enzymes were ALT and AST. I had a repeat blood test 2 weeks later and the results were more elevated. I then read and implemented everything I could related to fatty liver. That said, the third test 4 weeks later was normal.

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@tillymack that is very encouraging! He had repeat labs 2 weeks later and his ALT went down but the ALP didn’t change. He is changing anything he can but it’s little stuff like cutting out dried fruit and white rice…he has a really clean diet already…you can see why we’re stumped. But keep the questions coming it all helps!

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Actually I think cutting down on dried fruit and white rice are excellent ideas. I did the same as well as cutting out pasta and fruit juice.

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My daughter was diagnosed with the same thing at 26 years old. Elevated ALT and other enzyme (I can’t remember which) and her cholesterol was really high. Triglycerides were at 2.45

I changed her diet to LOTS of vegetables, some fruit (mainly berries), beans, if she needed meat only chicken or fish. No grains except quinoa (soaked for 6-8 hours before using). All of it organic. If using a fat to cook, only ghee. Olive oil on salads. (Cooking with olive oil causes a chemical change that’s not great).

She stayed on the diet completely and after 6 months her enzymes were almost normal, her triglycerides went from 2.45 to 0.96 and her cholesterol was normal.

You might want to give it a try. Also exercise is important, 1 hour per day brisk walking or something similar 6 days per week.

Hope that helps!

There are so many people who have NAFLD, and many of them young, while there can be a genetic component, I believe there’s definitely something else going on.

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