I have worse than that. I have Baron Munchausen Syndrome:
Posted on 05/13/2022 8:44:21 AM PDT by ConservativeMind
Those with a normal body mass index (BMI) with non-alcoholic fatty liver disease (NAFLD) are more likely to have cardiovascular disease than those who are overweight or living with obesity, according to research. Roughly 25 percent of adults in the U.S. have NAFLD, a term for various conditions of the liver that affect those who drink little to no alcohol.
This link to cardiovascular disease was found even though lean patients were less likely to have cirrhosis, diabetes, high cholesterol or high blood pressure.
"Our team had expected to see that those with a normal BMI would have a lower prevalence of any metabolic or cardiovascular conditions, so we were very surprised to find this link to cardiovascular disease," said Karn Wijarnpreecha, MD, MPH. "Too often, we overlook NAFLD patients with a normal BMI because we assume their risk for more serious conditions is lower than those who are overweight."
The main characteristic of NAFLD is having too much fat stored in the liver cells. It typically has no symptoms and can lead to other dangerous conditions, such as diabetes, cardiovascular disease, and cirrhosis of the liver.
While NAFLD is more common in people who are overweight or living with obesity, it is also found in people who have a normal BMI. Yet, there is little-to-no research done on this population's associated conditions in relation to the condition.
They found that compared to non-lean patients, lean patients had a lower prevalence of cirrhosis, diabetes mellitus, hypertension, and dyslipidemia; but a higher prevalence of peripheral vascular disease, cerebrovascular disease and any cardiovascular disease.
"In further analysis, we found that lean patients with NAFLD also had a significantly higher prevalence of cardiovascular disease, independent of age, sex, race, smoking status, diabetes, hypertension, and dyslipidemia," Dr. Wijarnpreecha said.
(Excerpt) Read more at medicalxpress.com ...
I have separately heard that as much as 33% of Americans have fatty liver, rather than the 25% mentioned here.
Short of a scan of your liver (MRI, CT, Ultrasound), the ability to determine if you have a fatty liver comes down to interpreting blood tests. Some tests include alanine aminotransferase (ALT) and aspartate aminotransferase (AST).
Losing weight and/or taking pantethine can reverse a fatty liver, according to studies.
It’s the sugar and carbs. The standard American diet, government induced.
Fibroscan is a good tool. Dr told me that fatty liver cases have exploded in recent years and will keep going up in US. diet etc
Dont know how much a Fibroscan costs if insurance doesnt want to pay for it.
For example, a pelvic ultrasound is fairly cheap and I recommend it for people at risk for ovarian cancer. Your insurance might not pay for it but I think it is worth it if you have anyone in your family die of ovarian cancer..or even breast cancer.
I do agree.
Simple and complex carbs are generally fine if in small amounts, or even large amounts, if burning them off with activity, but not getting rid of them keeps your blood sugar elevated, which just rots a lot of internal proceses.
Do you have Munchausen Syndrome?
I had the ultrasound to confirm it. Unfortunately my doc can’t tell if it’s because I’m fat, drink too much, or am too sedentary. Getting more exercise is easy and driving some weight loss but I am finding it hard to give up my red meat and bourbon.
So... Kind of on the subject. I have a BMI around 31 and would like to lose around 15-20 pounds. I have been trying but at my age, it is getting harder and harder. I am able to keep my weight pretty stable but cannot lose weight even with a reduced calorie diet. My exercise activity has been somewhat limited with a recent lower back issue. My ARNP suggested I try a round of semiglutide therapy that has had fantastic results, especially in reducing visceral fat. Not sure about fatty liver though. As with any therapy like this, it has to be in combination with diet (already doing) and exercise (already doing best I can). Has anyone here tried the semiglutide therapy? Just curious.
I was trying to figure out the point of this article and with these two sentences I see that there is no point.
It reminds me of the time I was sent to the cardiologist for an anomaly on an ECG. The cardiologist said the anomaly was normal for my age and told me to come back if I ever have a symptom. He even seemed miffed that I had wasted his time. He said that since I passed the treadmill stress test and was ready for more, there was no operable concern.
I only clicked this bait to see what NAFLD stood for. It's a useless test for a non-problem looking for a justification.
Getting weight down and/or taking a certain supplement, will get rid of anyone’s fatty liver.
This is completely preventable and reversible, if the fatty liver hasn’t scarred too much.
I can just see Doctor Karn Wijarnpreecha, MD, MPH saying “you would be much more healthy if you would give up eating the cow’s meat and only eat vegetables.”
Yet the whole gist of the article was that they tested people that were not overweight and found NAFLD. My question is, why? No symptoms, no risk profile.
The doctor only wants us barbaric Americans to stop eating his sacred cow.
I believe these people, like a past roommate of mine (with cardio issues I don't begin to have), are the ones with such issues.
Your blood test can provide an indication you have such issues, even without a scan. Why is your ALT and AST on the higher side, when you look fine? This points to a fatty liver and worse cardio blood test numbers than you'd expect for someone “thin.”
That is how I would interpret this.
Oh, and my roommate would eat Quarter Pounders w/cheese and a large fry, practically every day. He was paying the price as I left, years ago, and the first indication was a male problem gone even more awry (but if you aren't married, it is far less important to reverse).
These so called "skinny fat" people will soon develop symptoms like the rest of us. What is the point of identifying a problem that will never be acted on without symptoms?
A percent body fat measurement is a quick way to see if you are “skinny-fat.”
If you are over 12-14%, lose fat and bring down your ALT and AST levels, with it.
That’s actionable.
exactly, you can be vegan and show up in this category. Between breakfast cereal, danish, or bagel and sandwiches and pasta, you can take in a huge amount of flour and sugar and think you eat well. I think these people are high fructose eaters. Or even more likely they drink sweet drinks. Liquid high fructose corn syrup goes straight to the liver. If their other calories are moderate or they exercise a lot, they will keep their shape but their liver will grow fat.
What i hate about this study, is that it says that fat people aren’t unhealthy. They are very unhealthy. But there is a group who eat the sad and are not fat and also unhealthy. But these are few and far between. This study gives them an excuse to ignore the fatty’s.
Give up the carbs and alcohol, keep the red meat. Eat more green stuff.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.