Last night, however, I learned that one of my enzymes had increased slightly since January. So, the minute my doctor walked through the door, he started telling me that I needed to lose weight and wanted me to try diet pills. I told him I would not be taking diet pills for any reason. He told me that nonalcoholic fatty liver disease is more dangerous than they realized and I could expect that my life would be shortened. I told him we are all dying, so I was okay with it. We fought, loudly, for approximately 30 minutes (I am actually surprised his assistant didn't come in to check on us). He would only repeat over and over that I needed to lose weight. I would counter with all the arguments that pure calorie restriction doesn't work. If it did, I would be skinny. He asked me how many calories I eat per day -- I told him about 2,500 calories. He told me it was WAY too many. Clearly, I've maintained approximately the same weight for the past few years, so it must not be an extreme number of calories if his precious theory works. I told him I had my resting metabolic rate tested and it was 1,800. That means that by merely opening my eyes in the morning, I need a minimum of 1,800 calories just to live. If I get up and start moving, then I need more. I can burn 800-1,000 calories in a kickboxing session. (For those of you concerned that I'm slipping back into disordered behaviors...I'm not...I don't count calories or care how much I burn during a workout session...I just know from years of disordered thinking about how much I eat and burn so I can bust numbers out to fucktard doctors who think they know everything.)
He told me I was a militant. Fine with me. He told me I was going to die. Last I checked, we all are.
By the way, a few minutes later, my doctor did admit that my ultrasound has never ACTUALLY revealed that I have fatty liver. I was tested for hepatitis, and those tests were negative. So, he doesn't REALLY know why my liver panels are elevated, and then he admitted that many thin people have fatty liver. So he can go fuck right off.
What is fatty liver and why is it scary? For years, they thought that only alcoholics got cirrhosis. Wrong. Eating a lot of sugar (which is part of the Standard American Diet) causes fatty liver. Fatty liver can cause cirrhosis or liver cancer, which can lead to liver failure. The good news is that the liver is the most regenerative organ in our entire body. It can be healed.
What I didn't tell my doctor was that I've been drinking a lot of alcohol lately and that is most likely the reason for the increase. I used to drink once every few months, but for the last four months or so, I've probably been drinking once or twice a week. However, if you start a conversation by screaming at your patient, they are most likely going to shut down and not have a productive discussion with you. I am in the market for a new doctor.
So, here's the history of my numbers: