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Liver enlarge and fatty liver grade1
Gastroenterologist prescribed vitamin E capsule daily evion 600mg for 3months . endocrinologist prescribed b active injection 6doses,vitamin D capsule 16capsule lipiprose 10mg for 4months for high trigleceroid and iam using it.
My liver is enlarged 17cm ( before 14cm)last month but I hav fatty liver grade 1 since 5years i lifestyle but fatty liver grade 1is not reversible..LFTreport is normala
I hav hypothyroidism since 13years taking thyroxine 75mg.
still iam not used evion 600mg vitamin E capsule for 90days given .it is decreased liver damage doctor told my question is any side effect is there using evion 600mg tablet daily for 90daysbecause it is high dosage.pkease suggest me.
What methods to be taken to improve my liver health. Please advice best hospital and doctor to cure fatty and enlarge liver.
Answers (20)
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Grade 1 fatty liver with a mildly enlarged liver and normal LFT is a reassuring combination, and in my experience it is largely reversible with sustained lifestyle change rather than medicines. Vitamin E and the other supplements you have been given are supportive at best; they are not the treatment. The real treatment is a 7-10% weight reduction over 6-12 months, cutting sugar, refined flour, fried food and alcohol completely, and 40-45 minutes of brisk walking most days. Since you have hypothyroidism and a high triglyceride level, keeping your TSH in range and rechecking your lipid profile and LFT every 3-6 months matters more than adding another capsule. You do not need a special hospital for this - any general physician who follows you regularly is enough.
Next Steps
Start a low-sugar, low-refined-carb diet with daily brisk walking, aim for gradual weight loss, and repeat LFT, lipid profile and TSH in 3 months. If you would like a structured plan and follow-up, you can consult with me at Synergy Multispeciality Hospital, Miraj.
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A few things stand out here that are worth addressing together rather than separately: your liver size increasing from 14cm to 17cm within a month is a meaningful change and shouldn't be looked at in isolation from the fatty liver — it's worth confirming whether this is measurement variation between scans/machines or an actual progression, since that changes the urgency. On Evion 600mg — long-term high-dose Vitamin E does carry some risk (bleeding tendency, and rarely other effects) with prolonged use beyond what's typically recommended, so the duration and whether it should continue is worth re-checking against current guidance rather than continuing indefinitely on the same dose. Given you're also on thyroxine, vitamin D, and a triglyceride medication together, this really needs someone to review the full picture — the interplay between your thyroid control, lipid levels, and liver findings — rather than treating each report separately. I'd suggest a consult so we can go through your recent scan and reports together and plan the next steps properly.
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Evion 600 mg contains Vitamin E, which acts as an antioxidant to help lower oxidative stress and inflammation in non-alcoholic fatty liver disease (NAFLD). However, self-prescribing high-dose Vitamin E can lead to toxicity or interact with other health conditions, so it should only be used under medical supervision.
Clinical guidelines sometimes suggest specific dosages of Vitamin E for biopsy-proven non-alcoholic steatohepatitis (NASH), but it is not a universal cure for all stages of fatty liver.
A600 mg dose is relatively high. Excessive fat-soluble vitamins build up in body tissues, which can cause adverse effects.
High doses may increase bleeding risks, interfere with blood thinners, or cause nausea, fatigue, and stomach cramps.
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Continue vit E good for liver
Also reduce T g
Avoid oily fried food
Eat vegetables and beet root
Black coffee once a day exercise
Reduce oil and salt
Check lft 3 monthly
Reduce salt and sugar
Less carbs
Control sugar levels
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Continue same medications
Say no to oily food or alcohol consumption
Never discontinue hypothyroidism medications until doctor advised
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Continue the same treatment
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Grade-1 fatty liver is often reversible, and an enlarged liver needs evaluation for the underlying cause rather than treatment based on ultrasound grade alone. Current liver guidelines emphasise assessment of metabolic risk factors and fibrosis risk along with lifestyle management.
Next Steps
i would suggest reviewing your LFT, lipid profile, HbA1c/fasting sugar, thyroid profile and ultrasound findings, and assessing fibrosis risk if indicated. Your increase in liver size from 14 to 17 cm also deserves proper clinical correlation.
Health Tips
Focus on gradual weight reduction if overweight, regular exercise, a balanced diet and avoidance of alcohol. Fatty liver can improve significantly with sustained lifestyle change
Regarding Vitamin E: 600 mg/day should not be considered simply because fatty liver is present. Vitamin E has a specific role in selected patients, and the benefits/risks should be assessed individually rather than self-starting it.
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Grade1 fatty liver is reversible, but the increase in liver size from 14 to 17 cm should be evaluated along with your metabolic and thyroid status.
Please book a consultation to review the reports and medications and create a personalized plan for improving liver health.
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Continue medicine as such no side effect of vitamin e
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Gastroenterologist
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Kindly consult for proper evaluation and treatment.
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Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help u
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs evaluation
Do consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Agra Gastro Liver Centre
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