I’ve just downloaded your book and it’s certanly helping me a lot! Thank you very much for your help!

Thank you all for your replies.

My doctor told me that the MRI (regular not with elastography) with gadolinium contrast would exclude cirrhosis and I could put my mind at ease even with the ridiculous Fibroscan score, but I can’t find anything that supports that opinion, by the contrary with several studies saying that MRI is horrible for cirrhosis diagnosis.

Also, a lot of you is telling me to start the treatment right away, but my doctor keeps saying I should lose weight first. At least 10%. Any thoughts? He mentioned a study that patients with BMI 25 have a much better recovery from fibrosis. Also, how many weight can I lose per week to not screw up my liver. I’m not thinking about crashing dieting, but perhaps two kgs a week? Does weight loss reduces fibrosis?

I’m totally lost. I don’t have a clue of what I’m doing, so any thoughts and ideas are appreciated.

First of all I would like to thank you for replying. Really encouraging stories. I’m way calmer now. Thank you all!

Dr. James, based on your experience, in a wild guess, would you say F1 or F4? Based on the results? I mean, two ultrasounds without any sign of anything, an ARFI with F0 and an MRI without any issues? Where would that cirrhosis be hidden? Below the fat?

At least the F4 was useful for me to getting treated faster but my hepatologist insists in waiting for me to lose weight first since I’m treatment naive. She gave me a 12 week treatment. Should I talk to her about the four extra weeks? It took four months for me to get the medication because of all the burocracy and I’m not sure how easy would be to get an extra month of treatment.

Thanks again!