Hi if you have fatty liver you doctor will likely recommend weight loss to get to a normal weight.
I am only a lay person who had hep c for 37 years which caused liver cirrhosis after being infected for 30 years. I have had liver cirrhosis for 10 years now my health should not get any worse and my liver may improve some with time since I am now cured of hep c.
Elevated liver enzymes only indicate something is irritating your liver it does not relate to how much damage you may have. Given your age I am assuming you likely do not have any or only a little damage but this needs to be determined by your doctor. But even if you should have higher amounts of liver damage the liver is a remarkable organ capable of self repair if not too much damage has occurred.
Even liver cirrhosis is not a death sentence if you can work to minimize additional damage. At this point I suggest you stop all alcohol and use care with Tylenol ensuring you do not take more than the daily recommended dosages
I really think you will be fine. See your doctor and follow their recommendations. With proper diet and care you can live a normal life span but you will need to get a complete diagnosis about what is causing your elevated liver enzymes to know for sure.
Good luck
Anyway good luck.
If you have more questions or would like to give an update on how it is going please come back and post here. There may be others who come to this page later with similar concerns to yours. I am sure they would like to hear how it works out for you.
Nonalcoholic Fatty Liver Disease (NAFLD)
Like the name says, alcohol isn’t involved in this condition. There are different types of NAFLD.
Simple fatty liver means you have fat in your liver, but you may not have any inflammation in your liver or damage to your liver cells. It usually doesn’t get worse or cause problems with your liver. Most people with NAFLD have simple fatty liver.
NAFLD is more likely if:
You’re overweight or obese
Your body doesn’t respond to insulin as it should (called insulin resistance)
You have high levels of triglycerides or “bad” (LDL) cholesterol, or low levels of “good” (HDL) cholesterol
You have type 2 diabetes
You have metabolic syndrome. This is a mix of conditions that make you more likely to get type 2 diabetes and heart disease.
For NAFLD, weight loss is one of the best treatments. Weight loss helps reduce fat, inflammation, and scarring in your liver. Losing just 3% to 5% of your body weight can cut down on how much fat is in your liver.
Your symptoms of enlarged spleen and liver can both be explained by fatty liver
“Some of the most common causes of an enlarged spleen include the following: liver disease (cirrhosis due to chronic hepatitis B, chronic hepatitis C, fatty liver, long standing alcohol abuse); ... Inflammatory disease (lupus, rheumatoid arthritis)”
Thank you for taking time to reply. Don't drink like at all. I've eaten cheeseburgers as staple of my diet for many years. I've read many story's like yours and gives me some hope. I didn't get this way over night but the sharp pain in tight side and the very enlarged liver has me super in dispair. To point I asked my fiancee to not marry me because I don't want her to be a widow. Fatigue, enlarged spleen, itching, sharp pain. Its all so real. Funny thing is the pain wasn't there until I lost weight.