Liver Transplant Expert Forum
New problems after liver transplant.
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New problems after liver transplant.

I had a liver transplant 9 months ago.1 year previously I had surgery for stenosis in the small intestine.Three months after my liver transplant I had a pulmonary embolism,and am still on warfarin.It is now thought I have genetic metabolic syndrome-I also have atherogenic dyslipidemia-high triglycerides,low hdl and high ldl.My plasma fasting glucose level is outside the range at 6.3 mmol/L and the serum gamma-glutamyl transferase level is high at 87 U/L,when the reference range is 58 or less.Neither alcohol or diet plays any part in these situations,and my body is also not absorbing vitamins as it should.Basically,I believe I am now developing a fatty liver-before my transplant I had this same situation which turned to NASH and then cirrhosis.What do you see as a possible prognosis?Thank you.
517301_tn?1229801385
NASH can definitely recur.  i would take vitamin E BHID for now and maybe get a baseline liver biopsy to establish a baseline.  be careful not to gain weight.  recurrent NASH is typically not a problem with graft loss but in your case we must remain vigilant.  you may need periodic liver biopises to follow.
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517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
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