Londongirl, thin people can also be insulin resistant and steatosis but obviously if you’re underweight then loosing weight would not be recommended. But diet can always be improved. I would concentrate on having less carbs and more protein if ok with your doc (since he’s the one familiar with your case).

Thanks Price, yes, definitely more protein, but even with that it’s hard to keep the weight on. Initially put some deperately needed kgs on with starting treatment, but still low.

I had a LiverMultiScan and it showed no fat (unsurprising!) – but I do feel cholesterol profiles are relevant in some way and feel there are central areas of liver where DAAs had a harder time reaching on me, fat or no fat. What is the cause? LMS showed more intense fibrosis in this area center ribs and where that area has more blood flow? It’s a complex issue for sure, things not working right, gaining too much fat, losing too much weight, low Absorption and I guess High Absorption too (although I’m sure not the correct term!) I have read quite a bit on this in the past and instinct telks me this area needs to be looked at more in regard to pre treatment testing. My cholesterol profile wasn’t measured by hospital, it was a private blood test. Somehow I think there are some links between how our bodies are responding to the medicines, especially if a slower response, maybe cross GT and Steatosis / Congestion and such areas. I wouldn’t even begin to understand this complex thing, but I have learned we are all unique and ‘one size’ doesn’t fit all. This is the big problem with NHS England eg One set route for all, thankfully their narrow option was not a path I took. ie the option of 8 weeks Harvoni, not that I was actually offered that, but it would have been likely as they took fibroscans from the right side flank, not near the center where my fibrosis readings are higher.

One thing I feel for sure is exercise is key for all if able, swimming in particular good for those with joint pain.

ps on starting treatment I had a huge craving for carbs.
ppsSorry to digress somewhat from the GT3 thread, but I do think there may some issues in common that are not GT3 specific although less apparent in GT1s, especially GT1as

Has it sunk in yet Poodle? Wishing you a very happy weekend

I think I have the opposite of that, I lost too much weight, I don’t absorb things properly, maybe even the meds. So too fatty or too skinny can be problematic I feel and it may well be helpful to try and keep a good balance wherever possible. There is much more written re the too fatty side, but very few articles on the skinny side and malabsorbtion / malnutrition etc …

“Liver steatosis is an accumulation of fat in the liver, making a ‘fatty liver’. It corresponds to the accumulation of lipids (triglycerides) in the liver cells (hepatocytes) and may complicate alcoholic intoxication or metabolic disorders such as Type 2 diabetes, obesity, and dyslipemia. Such steatosis can either be isolated, making it a pure steatosis, or associated with hepatitis, which makes it non-alcoholic steatohepatitis (NASH). Steatosis and NASH form non-alcoholic fatty liver disease (NAFLD). These are usually asymptomatic conditions, but they are currently becoming more common because of the increasing number of overweight patients. ”

My Triglycerides were way too low, this turned up in a private blood test not a routine hospital one. They came under the ‘cholesterol’ section of testing.

Hi Bob, How are you doing! did you speak to Dr F or Dr D? Did you add the Riba in the end?

Hope you’re doing well over there, how long to go now?

LG

the brain is perhaps “playing” a little bit with your mind by not being under the “safe umbrella” of the HCV drugs.

Yes ha ha , definitely liked those drugs

Thank-you HRF

Yay Poodle Let me be the first to congratulate you – So delighted to read your most excellent news

Dear Archesr, so kind of you GT2 has the answer! We have only had two, I repeat TWO days of proper summer here hmy:

The other thing is, I am nearly 2 weeks off the meds and trying to distract myself in the good weather. Brain fog seems to be back, maybe underlying anxiety? I don’t feel that anxious, but after 6 months+ on these meds and feeling so much better the last 12 weeks, I am feeling slow and a bit tired. Maybe recovery , hopefully. It’s helpful to not be reading about the virus at this point I feel, (but am still in email communucation, particularly for those in England that need help importing meds & getting GP support / NHS monitoring etc).

How are you Archer?

Big to all.

LG

Fantastic Murr,

My very best wishes for your treatment.