Hi Kapil, Welcome to HCM.
I understand your condition. Based on the information your have given, I agree about switching from Storvaz (Atorvastatin
) to Rosuvas (Rosuvastatin
). Rosuvastatin lowers high lipid levels more effectively than Atorvastatin. Also insulin sensitizing agents such as metformin will help as well.
Looks like your body weight is on the higher side. Of note, obesity is directly linked to NAFLD and in this regard, I will advise that you reduce your weight gradually by adopting lifestyle changes using diet control and exercise (such as 30 min walk or swim per day). However, watch for rapid weight loss
as it may worsen your condition. Also if you smoke or drink alcohol, then these should be restricted completely. Since your uric acid is on the higher side, I will recommend against any kind of meat intake. In addition, high uric acid can cause increase in lipid levels and insulin resistance
I also agree with the stress test
as it will help understand the long term effects of dyslipidemia
thus far on your heart. However, I will also advise to get a liver biopsy
done (if not performed in the last 6 months) to re-evaluate your NAFLD.
In these regard, I will advise that you consult your physician.
Hope this helps.