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Hepatomegaly with grade II fatty infiltration, diet changes, now grade I. Next steps to take? When can I start drinking?

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Hi, I'm a 34 year old male living in India. I underwent regular medical check in XXXXXXX 2012 and was diagnosed with Hepatomegaly With GR II fatty Infiltration. This was due to my lifestyle & Weight and not primarily alcohol intake. I was 130 kg then (reports attached Report XXXXXXX 2012 (Ultrasound, LFT, Lipid).pdf)

I started the following since then:-
- Stopped Alcohol from twice a week to ZERO
- Stopped red meat in take to Zero
- Reduced Fatty food, fried food, aerated drink/sodas by 80%
- Reduced spicy food intake by 50%
- Reduced Potatoes, White bread, white rice intake by 90%
- Once a day Tab. Udiliv
- Once a day Omega 3 Salmon Oil (120mg) capsule
- started brisk walking 45 mins daily
- Lost ~10 kg( current weight is 119 kg) , and am still continuing with the rigour and my end goal is to lose 30 kg more

After 5 months I have got my tests done again, report attached Report May 2012 (Ultrasound, LFT, Lipid).pdf. The report now says Mild hepatomegaly with Fatty liver grade I
There is some improvement that I can a lay man can tell however wanted to consult and understand the next steps for my health, also when can I start occasional drinking again?
Posted Wed, 6 Jun 2012 in Liver and Gall Bladder
Answered by Dr. Pavan Kumar Gupta 1 hour later
Thanks for the query.
I have seen your reports and read about your changes in your lifestyle and indeed it is remarkable and is worth laudable.
However you still have lot of weight which has to be shed.
Since you have not mentioned your height,I can't comment on the desired amount of wright to be lost by you.
You must carry on with your restriction of calories,abstinence of alcohol and daily exercises.
Although your liver enzymes and ultrasound liver show improvement,your levels of total and LDL cholesterol have gone high inspite of your dieting and exercises.
You must start taking anti cholesterol medicines like statins to achieve that.These statins can be prescribed by your treating doctor.
Although you may continue your omega preparation,there is no evidence that udiliv cures fatty liver.
UDILIV has no role in fatty liver treatment and is actually a medicine to dissolve gall bladder stones.
My advice to you is to continue your diet restriction and exercises and remain away from alcohol till your liver becomes totally normal.
I hope to have answered your query however you may revert to me for any other query.
Thanks and best of luck.
Above answer was peer-reviewed by
Follow-up: Hepatomegaly with grade II fatty infiltration, diet changes, now grade I. Next steps to take? When can I start drinking? 15 hours later
Thanks a lot Dr. XXXXXXX for the response.

My height is 5'11'' while my idle weight should be around 76k but as a target i have kept 30 kg more which will make me reach at 89kg

I had the following questions:-

- I will stop taking udiliv, however is there any other medicine that i can take for helping my liver ?

- Looking at the progress in the liver condition, how much time do you estimate that will take my live to get to normal ?

- What could be possible cause of my LDL getting worse despite loosing weight, excercise & diet restriction

- Spoke to my family doc on the phone on my reports, he suggested me to further increase my physical activity from 45 mins to 75 mins/day and start taking Deplatt-A (150 mg) for a month and then repeat the Lipid profile test. Should i take this medicine ? hope this medicine is not a medicine i start and am stuck with it like BP medicines for the rest of my life

- Or Should i go a Cardioligst/Heart Specialist and do proper consultation ?

Thanks a lot in advance Dr XXXXXXX
Answered by Dr. Pavan Kumar Gupta 21 minutes later
Frankly speaking no medicine for fatty liver.
Very difficult to put a time frame for your liver getting normal but may be between 6 months to a year.
Very difficult to say about reasons for high cholesterol but may be it has something to do with your genetic structure.
You must take take DEPLATT as it helps in thinning the blood and helps in prevention of strokes and heart attacks.
You may take a proper consultation from a cardiologist and get your heart evaluated.It is always good to take care of your heart.
Thanks and best of luck.
Above answer was peer-reviewed by
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