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Fatty liver and Tryglycerides
I got my bloodwork back from the doctor and he said he believes I have a fatty liver. His reasoning was because my tryglycerides are so high. Can this be reversed? I am very worried. I am taking Lovaza and flax seed oil. I need to lose weight and and exercise more. Will losing weight, exercising and making some changes in my diet change things. I am only 46 and my biggest downfall is I am not fond of meat. My numbers are below.
Cholestrol 227
Triglycerides 579
LDL couldn't be calculated because of triglycerides
HDL 36
Thanks for your advice,
Wendi
Cholestrol 227
Triglycerides 579
LDL couldn't be calculated because of triglycerides
HDL 36
Thanks for your advice,
Wendi
If you have high triglicerides and you are overweight, maybe you should get tested for pre diabetes or insulin resistance. Get your Dr to do a 'Fasting Insulin' test plus a 'Glucose tolerance test' and use the HOMA IR Formula to work out the score.
FI x GTT/25 (fasting insulin x glucose tolerance /25)=Homa IR
Good luck and glad to hear you are HCV negative.
FI x GTT/25 (fasting insulin x glucose tolerance /25)=Homa IR
Good luck and glad to hear you are HCV negative.
Did you fast before that bloodwork? If you didn't, your Triglycerides, HDL and LDL will not be accurate. You need to test again if you weren't fasting for 8 to 12 hours before.
well I'm glad to heart you don't have HCV...that at least gives you more time to try to correct the issues.
My advice would be to get a good endocrinologist on board to help you dial in the right treatment for your thyroid. Then seek a liver specialist for help with the NASH.
It's a little more tricky than people realize, all this, because being HYPO will raise your trigs, and put strain on your heart and more...while being HYPER will raise your overall cholesterol and put strain on your kidneys. It's important therefore to get the right dosage dialed in and continue to monitor thereafter. Also, it takes about 4-6 weeks after any dosage modification to get a really accurate reading...so it's easy to over or undershoot the right dose...even 20 micrograms can set one in the wrong direction. So the pendulum must be kept from swinging you too far the other way.
assuming you get your thyroid meds right, then I'd focus in on learning about NASH, and see if you can also familiarize yourself with why sometimes oils thought to be "health giving" or give us more good cholesterol, may not always be doing that.
a good thread to start you down that path is this thread
http://www.medhelp.org/posts/Hepatitis-C/Vitamins----A-False-Hope/show/763269?personal_page_id=2142&post_id=post_4773898
I'd be careful how much flax seed and other "healthy oils" one consumed...many are rancid before they ever reach the store shelves and are not as good for us as they are touted by some to be.
mb
ps. anyone can have fatty liver at any age...you don't have to be old, or chubby, or any of that to get it. In fact a couple studies showed that whiplash caused more fat accumulation than ever previously believed. That''s because whiplash can damage the pituitary which in turn controls our thyroid and many metabolic functions. Rats with low pituitary function had BMI's 3 times that of rats with normal function, on the exact same calorie count and excersise regime that is. So quite apart from diet, heredity, or lifestyle choices one can become a victim on visceral or internal organ fat deposits.
My advice would be to get a good endocrinologist on board to help you dial in the right treatment for your thyroid. Then seek a liver specialist for help with the NASH.
It's a little more tricky than people realize, all this, because being HYPO will raise your trigs, and put strain on your heart and more...while being HYPER will raise your overall cholesterol and put strain on your kidneys. It's important therefore to get the right dosage dialed in and continue to monitor thereafter. Also, it takes about 4-6 weeks after any dosage modification to get a really accurate reading...so it's easy to over or undershoot the right dose...even 20 micrograms can set one in the wrong direction. So the pendulum must be kept from swinging you too far the other way.
assuming you get your thyroid meds right, then I'd focus in on learning about NASH, and see if you can also familiarize yourself with why sometimes oils thought to be "health giving" or give us more good cholesterol, may not always be doing that.
a good thread to start you down that path is this thread
http://www.medhelp.org/posts/Hepatitis-C/Vitamins----A-False-Hope/show/763269?personal_page_id=2142&post_id=post_4773898
I'd be careful how much flax seed and other "healthy oils" one consumed...many are rancid before they ever reach the store shelves and are not as good for us as they are touted by some to be.
mb
ps. anyone can have fatty liver at any age...you don't have to be old, or chubby, or any of that to get it. In fact a couple studies showed that whiplash caused more fat accumulation than ever previously believed. That''s because whiplash can damage the pituitary which in turn controls our thyroid and many metabolic functions. Rats with low pituitary function had BMI's 3 times that of rats with normal function, on the exact same calorie count and excersise regime that is. So quite apart from diet, heredity, or lifestyle choices one can become a victim on visceral or internal organ fat deposits.
I appreciate all you responses. First off, I DO NOT have Hepatitis C. I do have hypothyroid. I am on Ziac and synthroid. I also take Lysine, Cyruta Plus, Cardio Plus, Lovaza (fish oil) and Flax seed oil. I am trying to watch my diet. I do not eat red meat. I am trying to eat more protein but it is hard to get the right protein. I don't care for fish either. I think part of the problem is eating too many carbs. I am cutting out sweets and regular pop. This is scary for me. My tryglycerides always ran a bit high, but not this high.
are you on treatment now for hep c? this can cause your tris to go up. Mine went from 179 to 700+ by week 21 and my diet has gotten healthier. Same thin happened on last treatment, then they went down after treatment ended.
Hi wENDY, those numbers are of great concern. Fatty liver is only one of many issues that can occur with those numbers.
HDL should be higher than LDL for optimal health and both together should not be more than 170...some docs now say 150 is more ideal.
My question is have you had your thyroid checked, are you diebetic or insulin resistant, hows your kidney function? Do you drink and or what meds are you on.
It's just not usual to see triglycerides that high unless something else is going on as well.
Often high Trigs are from undertrated thyroid or diebetes, some meds can contibute, as can alcohol use, high fat diet, or other metabolic syndromes.
The main thing is to deal with everything causing it because High Trigs will stress out your kidneys and impair your liver function (but fatty liver can often be reversed with good treatment) as well as compromise your pancreas...inflaming that organ.
If you have HCV you will need to curb your meat consumption for the sake of your liver even more. Especially red meat. The higher the iron contant of food the more chance you will have excess iron storage in your liver, and excess iron has been shown to be the main cause of oxidative stress in the liver. Oxidative stress, (the iron interacting with the oxygen in your blood as it flows through the liver) causes the formation of free radicals which in turn produce cancerous cell growth. Cells of this type, in the liver lead to HCC (hepatic or liver cancer). Ergo, you should have some motivation now to make a few dietary changes. These changes will greatly improve your health and reduce your risk of liver cancer.
Even if you did not have HCV you would need need to make these changes to reverse fatty liver. But particularly with HCV make them, because HCV patients already have compromised livers their rate of HCC is much higher than in the general populace.
NASH, non-alcoholic fatty liver, is the type caused by matabloic issues other than alcohol. When a person drinks, the body tries hard to detox the alcohol because it is poisonous...in the process it stores other type calories as fat, many in the liver. The liver always stores some fat, because it knows that normally there are hours between each meal...therefore it keeps on the ready a few extra calories to be ready to burn at a moments notice. Yet because of either drinking, eating too much or too often, or because of hormonal imbalances of organ dysfunction the liver can begin storing too much fat or hanging on to too many trigs....I don't know what category you fit into
but, HCV people tend to have MUCH higher rates of endocrine deficiencies. That means your thyroid, pituitary, pancreas and several other glands may all be compromised and not functioning effectively. This in turn leads to many other disease conditions. The cascading effects of HCV are only now being realized and studied in earnest but if you go to Pubmed and search for HCV and thyroid, or endocrine, or any such combo you will see the studies are all indicating metabolic syndromes quite apart from diet.
That said, you do need to address the meat quantity and type. I try to stick to a variety, eat mostly chicken, white pork, fish, less fatty cuts of all these, and occasionally a red meat treat, again a lean cut. Try to keep your portions to 3 or 4 ounces only, never more than the size of the palm only of your hand and not too thick either. This will give your blood and liver a break and save you from kidney or pancreatic probs.
If you could wean yourself from the meat and get down to say 2 or 3 times a week..that would probably be better at least until you reverse and get some of the fat out of your liver. Try mushroom burgers for instance, lots of stir-frys, salads etc. It's not that hard to redirect your eating once you realize your health is what is at stake...and that means nix the steaks...for the most part.
Let me know if you need more help doing this...I went meatless for 5 years and learned a few tips. Good luck to you.
mb
HDL should be higher than LDL for optimal health and both together should not be more than 170...some docs now say 150 is more ideal.
My question is have you had your thyroid checked, are you diebetic or insulin resistant, hows your kidney function? Do you drink and or what meds are you on.
It's just not usual to see triglycerides that high unless something else is going on as well.
Often high Trigs are from undertrated thyroid or diebetes, some meds can contibute, as can alcohol use, high fat diet, or other metabolic syndromes.
The main thing is to deal with everything causing it because High Trigs will stress out your kidneys and impair your liver function (but fatty liver can often be reversed with good treatment) as well as compromise your pancreas...inflaming that organ.
If you have HCV you will need to curb your meat consumption for the sake of your liver even more. Especially red meat. The higher the iron contant of food the more chance you will have excess iron storage in your liver, and excess iron has been shown to be the main cause of oxidative stress in the liver. Oxidative stress, (the iron interacting with the oxygen in your blood as it flows through the liver) causes the formation of free radicals which in turn produce cancerous cell growth. Cells of this type, in the liver lead to HCC (hepatic or liver cancer). Ergo, you should have some motivation now to make a few dietary changes. These changes will greatly improve your health and reduce your risk of liver cancer.
Even if you did not have HCV you would need need to make these changes to reverse fatty liver. But particularly with HCV make them, because HCV patients already have compromised livers their rate of HCC is much higher than in the general populace.
NASH, non-alcoholic fatty liver, is the type caused by matabloic issues other than alcohol. When a person drinks, the body tries hard to detox the alcohol because it is poisonous...in the process it stores other type calories as fat, many in the liver. The liver always stores some fat, because it knows that normally there are hours between each meal...therefore it keeps on the ready a few extra calories to be ready to burn at a moments notice. Yet because of either drinking, eating too much or too often, or because of hormonal imbalances of organ dysfunction the liver can begin storing too much fat or hanging on to too many trigs....I don't know what category you fit into
but, HCV people tend to have MUCH higher rates of endocrine deficiencies. That means your thyroid, pituitary, pancreas and several other glands may all be compromised and not functioning effectively. This in turn leads to many other disease conditions. The cascading effects of HCV are only now being realized and studied in earnest but if you go to Pubmed and search for HCV and thyroid, or endocrine, or any such combo you will see the studies are all indicating metabolic syndromes quite apart from diet.
That said, you do need to address the meat quantity and type. I try to stick to a variety, eat mostly chicken, white pork, fish, less fatty cuts of all these, and occasionally a red meat treat, again a lean cut. Try to keep your portions to 3 or 4 ounces only, never more than the size of the palm only of your hand and not too thick either. This will give your blood and liver a break and save you from kidney or pancreatic probs.
If you could wean yourself from the meat and get down to say 2 or 3 times a week..that would probably be better at least until you reverse and get some of the fat out of your liver. Try mushroom burgers for instance, lots of stir-frys, salads etc. It's not that hard to redirect your eating once you realize your health is what is at stake...and that means nix the steaks...for the most part.
Let me know if you need more help doing this...I went meatless for 5 years and learned a few tips. Good luck to you.
mb
From what ive been reading is fatty liver can be a negative factor to the outcome of treating hep c ,but getting down to your ideal weight and BMI number, which is 25 is a wise thing to do.
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