Hi @jolivera11, I see that you were trying to post a link. New members are not allowed to post links for a brief period of time, but you were sharing a helpful link, let me help:

Good Morning Everyone,
I was unable to find my most recent NAFLD update so I apologize for repeating my history.
20 yr patient with SOD (Sphincter of Oddi disfunction), after failed stenting in biliary duct, during ERCP, perforation of duodenum, infecting gall bladder after this procedure, emergency surgery to remove gallbladder. Fast forward 20 years this past November 2023 started experiencing severe right upper abdominal cramping under rt ribs, traveling to upper back pain above kidneys. ER visit, CAT Scan, MRCP, ultrasound, elevated liver and pancreatic enzymes, referred to Gastroenterology, Endoscopy and Colonoscopy. (Do you think I covered all the bases) Then the Dr. ordered a FIBROSCAN. Low and behold, Stage 3 NAFLD Steatosis of the liver, FO Stage 0 of Fibrosis Stage. I do not drink alcohol, I am 67 years old not obese or overweight. I was told to watch my diet, no fats, no white bread, lose 20 pounds. I have high cholesterol, and high blood pressure, I now take a 5 mg Rosuvastatin 3 days a week, and am on 2 blood pressure meds, Amlodipine 5 mg and Valsartan 40 mg.
After 5 months All Blood work is normal. Lost 10 pounds, and follow "A Guide on What to Eat with NAFLD" from a free online diet manual from Baylor Medicine. (Google free download).
Medicare would not cover a Dietician because did not have diabetes. No worries this free guide was Excellent. The gastroenterologist will do another Fibroscan in a year.
Okay everyone brace yourself here is what I have learned on my own. I am a Wife, Mom and a Grandma. I had to find out what caused this. Here it goes:
I read everything I could find on Gall Bladder illness: Here are several excerpts regarding the Gall Bladder: Cholecystectomy (Removal of the Gall Bladder4) is thought to effect surrounding tissues due to changes in bile flow, bile exposure, endocrine and metabolic levels in chronic liver disease (CLD) such as Non-Alcoholic Fatty Liver Disease NAFLD and cirrhosis is the primary cause of Liver Cancer. After Gall Bladder removal Bile duct injury most feared complication of cholecystectomy. Lab tests indication of this complication elevated Liver enzymes and 54% of all patients undergoing Gall Bladder removal are at increased risk of NAFLD. Increased liver fat accumulation led to NAFLD and Liver inflammation. The liver works harder if you don't have a gall bladder. Gall Bladder removal increases your risk of liver problems like NAFLD. Symptoms include fatty food intolerance, nausea, vomiting, heartburn, flatulence, indigestion, diarrhea, jaundice and intermittent episodes of abdominal pain, Post-Cholecystectomy Syndrome can manifest years after surgery. Cholecystectomy is shown to be an independent risk factor for the development of NAFLD. You can lead a perfectly normal life without a gall bladder. Your liver will still make enough bile to digest your food, but instead of being stored in the gall bladder it drips continuously into your digestives system. I could go on and just google (What happens after your gall bladder is removed)
I had no control what happened to me 20 years ago. But I know when I am careful what I eat, no alcohol, lose some weight, control my cholesterol and blood pressure I can live a healthy life. Also interesting reading receiving Covid Vaccines could contribute to declining Liver Health. "World Journal of Gastroenterology, NLM National Institutes of Health: 2022 Dec 28, Chronic Liver disease (CLD is characterized by gradual destruction of liver tissue over time and includes liver diseases that are caused by chronic inflammation Non-alcoholic fatty liver disease (NAFLD). Recent Worldwide dissemination of COVID-19 vaccines have led to an increasing number of reports of several organ-specific immune-related diseases. (NAFLD)
I have received 4 MODERNA Covid Vaccines. Keep searching, asking questions and be your own advocate. Physician alone can not do everything.
Take care everyone
ColleenP