apollo
  • male
  • 45 Years
  • 22/01/2025

I'm dealing with a fatty liver grade 2 or 3, and I'm wondering if it's reversible. I'm really eager to lose some weight and improve my condition. Could you suggest what steps I should take or if there's a specific diet I should follow? Would also love some advice on finding a good dietitian.

Doctor 1

Answered by 1 Apollo Doctors

Physician opinion is advised to the patient.

Dr. Chandra Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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I'm trying to figure out how to lower my SGPT levels because theyre currently at 136, and it's got me worried. What can I do to bring this down? Any advice you could give would really help!

Elevated SGPT (Serum Glutamic-Pyruvic Transaminase) levels can indicate liver stress or damage. To reduce your SGPT level, follow these steps: *Lifestyle Changes* 1. *Maintain a healthy weight*: Excess weight can contribute to liver stress. 2. *Exercise regularly*: Engage in moderate-intensity physical activity, like brisk walking, cycling, or swimming. 3. *Avoid alcohol*: Abstain from alcohol consumption or limit it to moderate levels (1-2 drinks per day). 4. *Quit smoking*: Smoking can exacerbate liver damage. *Dietary Changes* 1. *Increase antioxidant intake*: Consume foods rich in antioxidants, such as: - Berries (blueberries, strawberries, raspberries) - Leafy greens (spinach, kale, collard greens) - Nuts and seeds (almonds, walnuts, chia seeds, flaxseeds) 2. *Eat foods that support liver health*: Include: - Omega-3 rich foods (fatty fish, flaxseeds, chia seeds) - Vitamin E-rich foods (nuts, seeds, vegetable oils) - Fiber-rich foods (fruits, vegetables, whole grains) 3. *Limit processed and high-sugar foods*: Avoid or reduce: - Processed meats - Refined carbohydrates - Sugary drinks *Supplements* 1. *Milk Thistle*: This herb has been traditionally used to support liver health. Consult with your doctor before taking any supplements. 2. *Vitamin E*: This antioxidant can help protect liver cells from damage. 3. *Omega-3 fatty acids*: These healthy fats can help reduce inflammation and support liver health.

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I'm really concerned about my ALTSGPT level, which is at 91.5. I've been taking liver supplements, eating healthy, drinking lots of water, and exercising regularly, but nothing seems to be working. Can you help me understand why it's still high and what else I might be missing in my approach?

While lifestyle changes like a healthy diet, regular exercise, avoiding alcohol, and staying hydrated can significantly improve liver health and help lower ALT levels, it is essential to identify the underlying cause with the help of your healthcare provider. Following a comprehensive treatment plan that includes the right medications, supplements, and lifestyle adjustments is key to managing liver function.

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I'm feeling kind of stuck because my gastroenterologist said I need a colonoscopy for my stomach pain, but I'm trying this new eating schedule where I eat every 33 hours, and fasting is really hard for me. How do I navigate this? Any advice would be really helpful.

Chest Pain Characteristics_ 1. _Intermittent pain_: Pinpoint pain lasting 3-4 seconds, occurring sporadically throughout the day. 2. _Variable location_: Pain located in the center, left, and right sides of the chest. 3. _Burning sensation_: Accompanying burning sensation, which may indicate acid reflux or gastroesophageal reflux disease (GERD). _Possible Causes_ 1. _Gastroesophageal reflux disease (GERD)_: Stomach acid flowing back up into the esophagus can cause chest pain and burning sensations. 2. _Musculoskeletal issues_: Strained chest muscles or costochondritis (inflammation of the cartilage that connects the ribs to the breastbone) can cause intermittent chest pain. 3. _Cardiovascular conditions_: Although less likely, given the brief duration and variable location of the pain, cardiovascular conditions like angina or pericarditis should be ruled out. 4. _Anxiety or stress_: Stress and anxiety can manifest as physical symptoms, including chest pain and burning sensations. _Recommendations_ 1. _Consult a healthcare professional_: Schedule an appointment to discuss your symptoms and determine the underlying cause. 2. _Diagnostic tests_: Your doctor may order diagnostic tests, such as an electrocardiogram (ECG), chest X-ray, or endoscopy, to rule out underlying conditions. 3. _Lifestyle modifications_: Avoid trigger foods, maintain a healthy weight, and manage stress through relaxation techniques like deep breathing, meditation, or yoga. 4. _Monitor symptoms_: Keep a symptom journal to track the frequency, duration, and characteristics of your chest pain and burning sensations.

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