Do I need medications for grade 1 fatty liver?

Hello,

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I have seen the attachment. (attachment removed to protect patient identity). The USG (ultrasound) abdomen and the TMT (treadmill test) are not cause for concern. The prostatomegaly (i.e prostate enlargement seen on the USG has been correlated with a normal PSA level). The high hemoglobin 17 gm% may cause symptoms due to clotting and blood sludging like headaches, chest pain and sometimes stroke. So that you should need to be evaluated by a hematologist. If you are a smoker, you should quit smoking as that too could cause high hemoglobin levels. Low vitamin D levels are seen very commonly here. You can do some running, getting at least half an hour exposure to sunlight, and take D-rise 60,000 Units per week for six weeks to improve these levels. Do not worry about cystatin C as your GFR (glomerular filtration rate) is normal. The cholesterol especially the LDL (low-density lipoprotein) is worrisome. I would advocate daily aerobics for half an hour, stop fried foods and bakery foods, more nuts and green leafy vegetables. If you want to take a medicine to lower cholesterol then Rosuvastatin 10 mg would be good. The creatinine is again a value and eGFR being normal I would not advise anything, but if you wish further information you could consult a nephrologist.

Hi,

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You need not do any additional blood tests when you meet the hematologist. You can substitute coconut oil with safflower, sunflower, olive, and groundnut oil. We would have to be very strict if you had already suffered a cardiac event or stroke but that is not the case. About drinking, the opinion is divided, yes, cutting down to a peg or two weekly once would be good. Also, it causes high triglyceride levels.