So I am four months post op from my revision and I just had an MRI for something unrelated but my dr said I have fatty liver. This is very puzzling to me because I get my labs every 6 months and nothing has been off to indicated elevated enzymes and of course they were just in there and didn’t think it looked bad?? Google does say that “bypass” and rapid weight loss are risk factors on one site but I would like to think that would be a temporary issue that resolves itself? I am going to call my surgeon first thing tomorrow but I’m just curious to know if anyone else has had anything like this. I recall a few people saying their liver labs came back elevated and their bariatric teams were not concerned but what about imaging?

I have fatty liver, diagnosed the day I had my RNY surgery 21+ years past. My perception is that as liver deseases go Fatty liver seems like the one to pick up.

It has been fairly easy to deal with. My labs have generally been in the normal ranges without medications or diet changes. Basically, it's not something that even comes to mind except when mentioned here or when I'm prescribed medications that are hard on the liver, in which case I declare I can't take them but rarely and that something else should be prescribed.

Chronic pain is the most fun to deal with as frequent NSAIDs are not good for the tummy and frequent Tylenol type meds are hard on the liver. It's frustrating bringing new doctors along on the rules and acceptable meds.

Good luck,

Tek

2 hours ago, The Greater Fool said:

I have fatty liver, diagnosed the day I had my RNY surgery 21+ years past. My perception is that as liver deseases go Fatty liver seems like the one to pick up.

It has been fairly easy to deal with. My labs have generally been in the normal ranges without medications or diet changes. Basically, it's not something that even comes to mind except when mentioned here or when I'm prescribed medications that are hard on the liver, in which case I declare I can't take them but rarely and that something else should be prescribed.

Chronic pain is the most fun to deal with as frequent NSAIDs are not good for the tummy and frequent Tylenol type meds are hard on the liver. It's frustrating bringing new doctors along on the rules and acceptable meds.

Good luck,

Tek

Im glad to hear it hasn’t been a big issue for you. I have a family member who just died from it so it scared me a bit. I bet the pain is for sure the most difficult thing to deal with nowadays. Everyone is so afraid to prescribe pain meds. I guess what really doesn’t make sense to me, though, is that my liver enzymes were always normal pre surgery and now that I am 4 months post up exercising like crazy and eating great I have it?! Just seems backwards. I did read that “bypass” and “rapid weight loss” are risk factors but would that be something that’s just temporary and not the typical presentation I wonder.

Edited December 8, 20241 yr by ShoppGirl

hmmmm...i was diagnosed with fatter liver maybe a year or so before my wls. it was basically reversed by the time i had my 3 month post-op follow-up.

honestly though, i don't really know how "bad" i had it - im sure my doc told me but i probably wasn't paying attention - in any case, i didn't even notice any ill effects from it when i did have it.

sorry...i realize that wasn't really much help.

Many find having elevated liver function tests whilst in the losing phase. Weight loss, especially the larger amounts we’re losing, is hard your liver. It does settle again once your weight stabilises. If your liver was fine before surgery and now a couple of months in & your labs are elevated I would think it may be because of your weight loss and it will improve. But see what your surgeon says.