Medical update, regarding my liver

I just got off the phone with the liver doctor — telahealth, got to love it.

She said it’ll be a few days till all the results from my blood draw yesterday — they took EIGHT vials of blood and are running like 10 different tests — get back to her… 5 to 7 days in fact … and she’ll in some cases need two different results to come back before she can comment, but so far they’ve all come back normal and if that continues to be the case than we need to just wait another 3 months to know for sure what’s happening with my liver.

She basically agrees with me — I had come across a bunch of articles on line saying that seeing a spike in liver numbers during the first 14 weeks of serious weight loss is actually kind of normal, and that you need to wait 16 weeks to see that start to reverse itself and a whole 40 weeks before the liver numbers SHOULD be normal if the person had high numbers due to fatty liver disease caused by obesity. She agreed that (assuming the blood tests all come back normal) we will need to wait another three months and get another liver blood test at that time to see what my numbers are doing.

The fact that they are currently spiking doesn’t really worry her too much. That said…

One of the first things she asked me was “when you started losing all of this weight did you change your exercise routine?” And I said that “yes in fact I had gone from being completely sedentary to working out like three times a week”, to which she started nodding her head and smiling (jee I love video phones) and saying “yes that might’ve caused the spike. We tend to see this sort of thing in people who suddenly start working out a lot in order to lose the weight.” Ironic isn’t it?

So she wants us to wait three more months, for me to continue losing more weight and working out (as I have been) and then get another blood liver panel test. If at that point the numbers have NOT gone below 100 then we will have to do a liver biopsy — eeek. She walked me through the two options of how that might happen and it doesn’t sound TOO awful…

If they HAVE gone down, then it’s all good and no sticking needles though my ribs into my liver will be required.

I told her about how I want to start traveling again like I used to before Covid. That I am currently planning to travel with a friend after Christmas to the UK for 3 months. She didn’t see a problem with that… and then I told her how I intended to get the Pfizer Covid 19 booster shot two weeks before traveling — in order to maximize my immunity. I figure its currently good enough for my current life which is mostly staying home and walking around outdoors and maybe doing some grocery shopping, etc… but airports and planes are a different kettle of fish…

This was interesting: She told me to be careful to get the liver blood test BEFORE getting the booster shot. Apparently they’ve been seeing spikes in the liver numbers in some patients after getting the Covid vaccinations. I already knew about making sure I got my mammogram well after the covid shots, but this was a new one… she said the spikes they’re seeing are very temporary, and as its almost been 6 months since my 2nd shot, NO this spike was not the result of that…

We also discussed my eating habits and she was actually really excited that I had discovered Shirataki noodles (as discussed in my last post) as she suggests those to her patients, and eats them herself. She suggested her favorite brand which she found on amazon — she’s a rice eater and uses them as a rice substitute — and I told her about the ones I’ve been eating from Costco.
We discussed my salt intake and she said there’s no reason for me to be worried about that at this point —  I had read all these web pages on liver health saying we had to reduce salt intake to 1,500 mg a day (that’s like NOTHING); she said this was especially true considering my issues with dehydration — she agrees with the advise of an ER Doctor I saw back in my 20’s who told me that ending up in the ER as often as I did with dehydration was not normal… and that best way to address it was just to eat more salt. (He basically said, we don’t say this to most people, but every person’s body is different and normal averages are not gospel and if I’m ending up in the ER on a semi regular basis with dehydration after drinking a normal amount of liquids, than clearly I need more salt in my system to retain it than the average person does.) She said until they start seeing certain very specific problematic things with regard to my liver, that I shouldn’t worry about reducing my salt intake.
This doctor as luck would have it is from Thailand, and there’s a particular food product that I’ve been worried about which is the oyster sauce from Thailand (makes ALL the difference when cooking Asian dishes at home, it’s like the missing secret ingredient to make your home cooked food taste like restaurant food). The one I have is listed on foodie sites as the BEST oyster sauce on the market, but one you almost NEVER see in American stores (got it from an Asian market in California that sells their stuff on eBay). The thing is when it arrived, it has a warning label on it from the state of California warning about cadmium and lead poisoning from the product. So I asked her is it OK for me to continue to use this one when making my noodle soup. She told me to go ahead, I shouldn’t be drinking it straight from the bottle but the occasional tablespoon of it once or twice a week wasn’t going to kill me or damage my liver.
We also discussed my use of supplements and we went through the list of which ones I had been taking (CoQ10 to counter the effects of the Statin drug I take for my cholesterol, and Glucosamine for joint health + Vitamin D)  and she said none of them are a liver risk and I can go back to taking them regularly…. again I had read on line to STOP taking all supplements, so I had….
The Green tea thing however — I had read on the British and Canadian official health services web sites that address liver health that it is a good thing to drink 10 cups of green tea a day if you have liver issues, NOT to take supplements, but to drink normally brewed green tea  — she wasn’t thrilled with (and keep in mind she’s Thai, where green tea is a normal part of any diet) … she said “if you want to have like 5 cups a day fine… but you don’t need to be doing chugging it like that, or any sort of liver cleanse things or making it the only thing you end up drinking all day” … and she was worried too much green tea could strain the liver.

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