My son is 13 years old. He has grade-1 fatty liver. SGPT 149 and SGOT 70. His cholesterol is also high at 230 and triglyceride is 200. LDL 140. Blood pressure around 150/87 but varies a lot and comes down to 125/80. Pulse is always above 90. His height is good around 5 feet 7 inches and weight 84 kgs. Looks overweight. He exercises around 45 minutes five days a week and eats junk only twice a week. Please advice. What should I do about the above?
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All of these symptoms are suggesting metabolic-X syndrome. In the long run, if not controlled then there is a high risk of developing complications, like diabetes and heart problems. The best suggestion I can give is to see a good endocrinologist and follow up with him, as he needs to be tested for hormones like cortisol, thyroid, androgens.
Cut back on junk, not even once a week. It is poison for him.
Continue exercise, fast walking, not jogging. With this weight, jogging can be harmful for joints. Anti-cholesterol medications are usually started after 18 years of age, I would not recommend starting right away. Fatty liver grade 1 is totally reversible with weight management, I would suggest do caloric count per day. Do not let him take 2000 KCal in a day, Everything more than that gets deposited in form of fat. Use more proteins than carbohydrates.
Repeat ultrasound liver in six months to see the resolution of fatty liver status.
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