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Showing posts from February, 2023

Love-Hate-Live Relationship

I hate to exercise. I'd rather knit. Or read. Or sleep. Or eat (although that's what got me in this mess to begin with). I know that when I do exercise, I feel better. And it's easier to lose weight. But I am not one of those people who obsesses about leg day at the gym. I don't train for half marathons or sign up for century bike rides or get up at 5 a.m. several days a week for spin class (I did do that long ago and enjoyed it. I guess.).  The Fitbit activity tracker helps. I'm still not one to go for a walk around the block at 11 p.m. to get my last minutes in. I do, weirdly, enjoy the watch's little vibration and accompanying fireworks graphics when I hit a certain number of exercise minutes for the week or 10,000 steps in a day (which does not happen as often as it should).  A new study just out , though, shows that exercise is as important as weight loss to getting that fat gone from my liver. Maybe even more important.  Exercise training can lead to a sig...

More Good Numbers

Today is Happy Hearts Day. Last Friday was Love Your Liver Day, in my world.  I had a FibroScan, which is a noninvasive diagnostic device used to measure liver scarring or fibrosis caused by a variety of liver diseases, including NAFLD. It's much like an ultrasound: quick, painless, and nonsurgical. The other option to assess liver damage would have been a traditional liver biopsy, which involves sedation and large needles and removal of tissue and recovery time (and, let's say it together, nobody has time for that). Several days later, I'm still waiting for a doc's explanation of my results. But I can compare my numbers to FibroScan scales (provided online by another hospital) that indicate grade and stage of disease progression.  My Results Fatty Liver Grades Fatty Liver Stages My Controlled Attenuation Parameter is 275 dB/m, which shows I have a steatosis grade of S2: between a third and two-thirds of my liver is fatty. More significantly, my stiffness score is 7.3 k...

Keep Doing Whatever You're Doing

I had my GI consult appointment today. The doc seemed fairly unconcerned by my situation. That said, she ordered a bunch of lab work, set me up for hepatitis A and B vaccines (because I don't seem to have immunity) and a fibroscan (which measures the amount of scarring/liver damage) for later in the week, and told me to keep my appointment with the weight management clinic scheduled for next week.  Given preliminary blood results and my physical exam, she believes I have little permanent damage. Whatever I've been doing in the past month, it seems to be working, so keep doing it, she said. And the numbers don't lie.  In one month, the bad numbers plummeted and the good ones went up. I cannot remember a time when my overall cholesterol was under 200. The statin helps, but I'd say clean eating and consistent cardio have more to do with it.  So no, I'm not dying. I also do not have clotting issues or Celiac disease. I may have iron deficiency anemia, but we have to col...

Sorry. Not Sorry.

I might have gotten someone in trouble.  A month ago, both my primary care provider (PCP) and my gynecology surgeon sent referrals to the hospital's gastroenterology department so I could get specialized care for NAFLD (and to see how much the disease has progressed and whether my liver has permanent damage).  A few days after the referrals, I sent a message via my online medical chart to gastro asking whether I needed to call to make an appointment or they'd call me. I received a snippy response saying they weren't doing anything until "the referral is accepted by the liver nurse."   And then nothing. My reaction was to assume that I was not being accepted. That for whatever reason, they rejected me and my fatsolivero. The only thing worse than hearing "Lose weight. Exercise" is hearing absolutely nothing. Crickets. Dead silence.  Last Thursday, I saw my PCP for an annual physical. When I told her the gastro office hadn't contacted me, she looked sh...

One Month

  For one month, I have lived without White bread White pasta White rice Sugar Red meat Starchy vegetables Soda Processed packaged food Fried food Added salt Alcohol I'm down 12 pounds .  I also logged about 16 hours of moderate exercise in January.  And I drank more than 2100 ounces of water .  Tomorrow I see my primary care provider. I'm hoping she orders another round of blood tests to see how my new lifestyle has affected those liver and lipid numbers.  I have to live like this forever. Or I won't live for long enough. It's doable. It has actually been enjoyable. I have more energy. I don't have aches and pains. I have been cooking yummy new dishes, including an amazing coconut milk-based Thai chicken soup with ginger and lemongrass and several rounds of red lentil pasta, crispy baked tofu, stir fry, veggie egg white scrambles with feta and Kalamata olives.  We are planning to eat dinner out tonight (the first time in a month). My husband is celebrating...