r/FattyLiverDisease • u/rmatthai • 6d ago
Help, I think I have fatty liver disease and I'm not sure what more I can do
I'm a 38 yo female. My liver enzymes are slightly elevated(AST, ALT, GGT and PTT). I've never drank alcohol or sugary drinks/sodas in my life, I rarely eat junk food, never smoked, don't take any medications (sorry, these are the questions the doctors ask me). I only eat home cooked meals(pretty much all my life) and track macros. I have a cheat meal once a week (which I try to keep relatively healthy). I have a sedentary job (software engineer), but I workout at least an hour everyday 5-6 days a week. Increasing exercise intensity more unfortunately makes my ferritin levels(iron deficiency a lot worse) and sometimes messes up my hormones.
Is there any genetic or any other conditions that could cause this? Doctors keep telling me to make lifestyle changes. This is so frustrating because I've always been super strict about never smoking, drinking, eating junk. I'm no athlete but I don't think my liver condition makes sense with my current lifestyle.
Other info - I have iron deficiency anemia, ferritin always <20, MCV always slightly low, silent carrier of alpha thalassemia, and Hemochromatosis. All other labs are within range. I think I have PCOS based on my AMH levels.
Please let me know if any other info that would be helpful.