Brief Answer:
No worries; further precautions should be taken.

Detailed Answer:
Greetings, mister! I am Dr. Meriton. Welcome to HCM and thank you for your question. I understand your concern.

Let us take your to issues step by step.

Lipid issue: I can see that you are 27-years old, and this is a normal lipid profile. A LDL-cholesterol under 190 mg/dL and a total cholesterol level under 220 mg/dL are considered normal. At this moment, there is nothing to worry about. However, you are overweight, and I have to recommend you a healthy diet and lifestyle. Since you have visited a doctor in the past, I think that he/she also offered you this. First and very important, you should be at least 60 minutes a day physically active, not always vigorously, but walking, jogging, swimming, biking, help. Second, you should reduce your salt intake, it is assumed that 1 g of salt retains 10 g of water. You should eat regularly and not miss a meal, especially not breakfast. This should be comprised by three main conventional meals and two snack-meals, in between. Avoid animal fat, eat less red meat, more fish and chicken, and avoid fast food as much as you can. Last, but not least, green leafy vegetables and fruit up to 300 g a day. My opinion is that, if you eat regularly and not in excessive amounts, you will lose weight.

Fatty liver issue: from the description you gave, I assume that this is fatty liver (hepatosteatosis) grade I. This is not a worrisome diagnosis, yes it is found often in young adults, but in those that have excessive fat and that consume alcohol. The ALT/AST ratio is just a reflection of this process. In this stage, this condition regresses if you regulate your diet and lifestyle (as described above) and reduce alcohol intake up to a maximum of 30 g of ethanol a day (maximum a shot of heavy drinks or two beers). It is only if you keep an erratic lifestyle and diet that can make this condition progress to other stages, when it becomes worrisome. Of course, this is general information about healthy habits and, again, these are only a doctor's recommendations. The choice is always up to you.

Three months after you have applied all of these changes, I recommend you should run some blood tests: total cholesterol, LDL and HDL fractions, triglycerides, AST, ALT and GGT. I also recommend you to repeat the abdominal ultrasound after six months.

I hope I was helpful and thorough. I wish you a good health. If you have further questions, I would be happy to help. If you do not, please close the discussion and rate the answer.

Best regards,
Dr. Meriton

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Brief Answer:
Diet and physical activity

Detailed Answer:
Hello again!

I am glad that the diet and lifestyle changes you did had results on your weight. This will be a reinforcing phenomenon for you to continue this regimen. If the alcohol is excluded, the next thing probably causing the fatty liver is the overweight. I recommend you to keep on your diet and add more physical activity. With further loss of weight, my opinion is that also the fatty liver will subside and liver function tests (AST and ALT) will come back to normal or near-normal values. This is the scenario with highest probability. If the liver function tests are still high after three months, then other causes should be sought.

I hope I was of help. If you do not have further clarifications, close the discussion and rate the answer.

Wish you a good health,
Dr. Meriton

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