You are such an inspiration to so many. Outstanding job.

Gotta Love Determined Dave!
 

YES! I agree so very much! :D

Dave, the two meds you mention are also difficult to contend with when dieting. I have a couple of those types of meds, as well. :(

I deeply respect your determination! :D

You are an inspiration, as Hopeless has expressed so well.

You bring me much JOY! :D

:hug:
With Gratitude,

DejaVu

Dave, I had a chat to one of my medical colleagues about this.

His comment was that what you are doing (eating in a healthy way, losing weight in a sustainable way) is very highly recommended for people with NASH.

Keep it up - as others have said, your determination is an inspiration to many people here :).

I had an appt with my GP on Monday regarding my repeated Blood Tests. My Liver Function numbers are shooting up, out of control (no numbers, just shown on graph).

She says they are the numbers of a heavy drinker - I quit 25 years ago - and that none of my meds are liver toxic or can explain this. Nor can my positive change in lifestyle and weight loss.

She has booked me in for a CT Scan of liver and pancreas as I have already suffered 2 rare cancers. I do not know how I would face another. My father died of liver cancer just slightly older than I am now after spread from colorectal cancer.

The alternative, she said, is becoming increasingly ill from liver disease. With this, I will be referred to a Liver Specialist.

Within 6 months of quitting smoking I was diagnosed with colorectal cancer. Now, 5 months after quitting junk food and sorting out my A1c and weight, I have to deal with this mess. It is no wonder I am spiralling deeper into Depression every day.

Dave.

Dave, this is alarming, I agree.

There are reports of Mirtazepine causing liver damage...Are you
still taking it?

http://livertox.nih.gov/Mirtazapine.htm

Yes MrsD, I'm still on Mirtazapine. I will go and read up on that.

Dave.

This link is to Drugcite.com

They are upgrading the site and only have archival data available.
This is the link to mirtazepine as of 2013:

https://web.archive.org/web/20130811...?q=MIRTAZAPINE

It is in the bottom list, which you have to expand. These are from FDA reports showing 1.81% reported liver toxicity.

While this is low, keep in mind that you use lots of medications and that may be contributory to the liver.

Also other things can be happening too. So get all the tests
your doctor orders, and it there is no indication of an organic
cause, consider the drug, then.

Awful news
 

Oh, Dave, this is awful news. I know this is very common in diabetics, but you mentioned that the doc thinks the diabetes is not responsible for the continued elevation.

Let us hope that your scan will came back with good news. You will be in my prayers and thoughts.

How soon will you be having your scan? I know sometimes the wheels in medicine turn very slowly.

Is there a possibility of a lab error? I recently had some labs that came back very bad and had them repeated since there was no explanation for them. When the 2nd labs were done (by a different lab), they came back normal. That made me wonder how many of the other labs that were drawn at the same time were valid since one of them was REALLY off a tremendous amount.

Labs are not perfect and errors DO sometimes occur.

I can certainly understand your feeling of despair and depression. It would worry me and weigh heavily on my mind if I were in your shoes. But for the moment, until the scan is done, let us try to think positive and consider the possibility of a lab error.

Please keep us updated as we keep you in our prayers and thoughts. We are here for you.

Hey Hope,

Just waiting for the scan appt to drop through the door, have no idea of wait time.

This is the third retest, all showing accelerating increases in numbers, so there is no chance of Lab error this time around.

Dave.

Hi Dave,

Hope the scan will happen soon and that it turns out to be something that can be fixed easily. I know with your history, your first thoughts would go to a very bad potential diagnosis and prognosis, but I am sure there are other possible reasons that may explain the continued elevations.

I do not want to think the worst so I am going to hold hope for you, even if you find that difficult to do for yourself right now.

Some say, "Plan for the worst, and wish for the best." So, I am going to be one to WISH for the BEST.

PLEASE someone, give me a magic wand to wave over English Dave. He can use some GOOD news and some healing.

I am going to have to search for some good news so I can share it with you. Never give up hope for good news.

I would give you some of my liver for a transplant but I have the same condition from my diabetes so I am not sure that will be of any help to you.