I was told on a CT scan in June that I had fatty infiltration of the liver. My ALT at the end of July was 107 and my AST was 79. Three weeks later I had new bloodwork and my ALT had increased to 173 and my AST to 104. I know that ALT is more important in showing actual liver damage than the AST as it is more liver specific. My doctor doesn't seem at all concerned about this. My fasting blood sugar was 120 so I may be diabetic. My doctor is going to do a A1C hemoglobin test to determine if I am diabetic and if I need to go to an endocrinologist. In the meantime, I am very very very worried about my liver enzymes and the fatty liver. He didn't mention doing a liver biopsy, but I wonder if it is necessary? I am trying to lose weight and follow the diabetic exchange pyramid diet and also keep it low fat. I do not have high triglycerides, by some miracle, but I am female, 5'6 and weigh about 215 pounds. I've been overweight my whole adult life. Suddenly I am having pain in my upper right abdomen, right where the liver would be. I don't know if I am actually having discomfort there or if it is a hysterical reaction to being scared of having cirrhosis. It wasn't hurting until about a week ago. Does anyone else with fatty liver have pain or discomfort there or is that an indicator that I may have cirrhosis? What sort of prognosis is there for patients with fatty liver or cirrhosis? How long can people live with this disease? I'm terrified that I won't be here to raise my kids. I'm really worried about this. If anyone can give me some words of advice I would really appreciate it. Thanks!
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