Fatty Liver and also Gallbladder removed

amydolphin76
on 7/13/11 1:05 am - Anaheim, CA
A couple of months ago during some routine blood work my liver enzymes came back high, AST was 44 and ALT was 79. My doctor ordered an ultrasound of my liver and it came back slightly enlarged. I was sent to a liver specialist who told me this is called fatty liver. The specialist said since I have lost weight so fast, almost 105lbs in about 1 year, he thinks my liver is having a hard time processing fat as it is expelled from my body. The liver Dr put me on 800IU of vitamin E daily as a cure for my fatty liver. I also have to be very careful of not eating much fat. 

I have been upset because no Dr or other RNY patient ever said anything about possible fatty liver condition after gastric bypass surgery. I have never been told I had a fatty liver before now.

I go back to the liver dr in early September for a check up. Hopefully taking the vitamin E has helped or fixed the fatty liver problem.

 

Fatty liver does not cause me any discomfort or even any symptoms that I am aware of and the Dr said it is a silent disease.

Also I needed to have my gallbladder out in Feb this year due to infection/severe gallstones and the general surgeon was surprised that my RNY surgeon Dr never checked my gallbladder before my RNY surgery and he was surprised they did not remove it during my gastric bypass.

 

Does anyone else know anything about Fatty Liver and RNY or have something to share. I would appreciate it. 
Thanks, Amy

Life is a journey to be shared. ~Amy~        
larra
on 7/13/11 1:30 am - bay area, CA
Rapid weight loss is stressful for the liver regardless of whether you accomplish the weight loss with RNY, with a different surgery, or with no surgery at all. You probably had the fatty liver before your RNY and just didn't know it. As you noted, it's a silent disease, and extremely common in MO people. The weight loss will help your liver in the long run, it's just stressful in the short run, which is where you still are now.
     It sounds like you're seeing the right specialist and that he'll re-check things to make sure you're going in the right direction. Meanwhile, avoid anything that would put additional stress on your liver (alcohol, excessive tylenol, hopefully he gave you some instructions).

Larra
MacMadame
on 7/13/11 4:53 am - Northern, CA
Milk thistle can also help the liver.

Most surgeons do not remove the gallbladder during WLS unless it is already diseased. They do prescribe a prescription med that helps prevent gallstone development which is another risk of rapid weight loss.

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amydolphin76
on 7/13/11 5:11 am - Anaheim, CA
Thanks MacMadame, I will look into Milk Thistle for my liver also. Have a good day.
Life is a journey to be shared. ~Amy~        
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