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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mildly Enlarged Fatty Liver?

hi. i am a 21 year old male medical student... i had exertional rhabdomyolysis 2 weeks ago.. now i am completely back to normal regarding CK levels.. the problem is my ALT and AST didn t drop back to normal.. i had an abdominal ultrasound that revealed a mildly enlarged fatty liver (17 cm).. my alt level is in the 200 s and AST level is in the 60 s. i have a perfect body mass index but i have a lot of fat in my body especially in the abdominal region. the doctor prescribed silymarin with acetyle cyctein.. now where should i go from here?
Thu, 4 Jun 2015
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Gastroenterologist,  's  Response
Hi, from what I understand you are being cured for non-alcoholic steatohepatitis ( I think the virological causes of liver damage and other autoimmune causes, as well as liver overload injury causes were excluded before, or should be excluded, while under this treatment). The treatment is o.k, I'd join Vit E 100 mg three times a day, for two months while trying to remodel your body adipose tissue expansion of course with a gradual diet and appropriate exercice (not till exertional rhabdomyolysis), and of course monitoring monthly your transaminases. I hope have answered your question.
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What Causes Mildly Enlarged Fatty Liver?

Hi, from what I understand you are being cured for non-alcoholic steatohepatitis ( I think the virological causes of liver damage and other autoimmune causes, as well as liver overload injury causes were excluded before, or should be excluded, while under this treatment). The treatment is o.k, I d join Vit E 100 mg three times a day, for two months while trying to remodel your body adipose tissue expansion of course with a gradual diet and appropriate exercice (not till exertional rhabdomyolysis), and of course monitoring monthly your transaminases. I hope have answered your question.