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Elevated triglycerides and uric acid
Male , 38 years, 186 cms , 91 kgs. Total cholestrol is 180 mg/dL. Triglycerides 201 mg/dL. Vldl 40 mg/dL. Uric acid 7.2 mg/dL. Gamma GT 18 U/L. HBAlc 5.7. Sgot 24 U/L . Sgpt 30 U/L. I have fatty liver grade 1. I am not doing any physical exercise nor dieting. My sgpt and sgot were previously 70 and 50. Total cholestrol was earlier 210. Only thing that I did is increased water intake to 2 liters daily from .75 L daily. My belly size also reduced by 40%. I never felt that water suppressed my appetite instead it increases appetite which is why i dont reduce food. I avoid sugar. Does water intake improves metabolism . What is your recommendation?.
Answers (18)
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You are doing everything good.
Please continue with the same routine.
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Your reports suggest 'Metabolic syndrome'.
A series of measures are required to prevent major health crises.
Do the following,
1. Blood pressure check
2. ECG
3. Blood tests: TSH; LDL/HDL
4. changes in diet and exercise levels, will save you major health issues in the coming years and avoid alcohol
All the best.
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Yes incresing water intake help in detoxification of body.you should do exercises and adapt healthy life styel ,add proteineous diet
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
WATER 3 TO 3.5 LTR PER DAY ADVISABLE.
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Excellent that u managed to cut down sugar.
Now what you should do is :
1)Exercise (MOST IMPORTANT)
Minimum 150 min/week brisk walking
Add resistance training 2–3 times/week
This alone can:
↓ TG
↓ fatty liver
↓ HbA1c
2. Diet (not just “no sugar”)
Reduce:
Refined carbs (rice, maida, bakery)
Fructose (juices, sweets) → ↑ uric acid
Alcohol (major cause of ↑ TG + fatty liver)
Increase:
Protein (eggs, dal, paneer)
Fiber (vegetables, oats)
Healthy fats (nuts)
“No sugar” alone is NOT enough
3.Weight target
Aim: 5–10% weight loss in 3–6 months
That alone can reverse fatty liver grade 1
Next Steps
Health Tips
What water actually does:
1)Improves renal excretion of uric acid
2)Helps satiety in some people (not all)
3)Prevents false hunger due to dehydration
What it does NOT do:
1)Does NOT significantly increase metabolism
2)Does NOT directly reduce triglycerides or fatty liver
RED FLAGS TO LOOK AFTER
Alcohol intake
Sedentary lifestyle (biggest culprit here)
Increasing waist circumference
Hope you will follow this and will see a positive results.
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Do regular exercises continue same diet
No sugars no fat but in good quantity
Next Steps
Plenty of water is a good health indicator
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Hello,
It is very encouraging to see that your liver enzymes (SGOT/SGPT) have improved so significantly just by avoiding sugar and increasing your water intake. This shows your body is responsive to lifestyle changes.
To answer your question: Yes, water intake improves metabolism, but indirectly. Staying hydrated helps your kidneys flush out uric acid (which is currently high at 7.2) and helps your liver process fats more efficiently.
However, your Triglycerides (201) and HbA1c (5.7%) indicate that your body is still struggling to process carbohydrates. Here are my recommendations:
Refine your Carbohydrates: Since you already avoid sugar, the next step is to reduce 'white' carbs (like white bread, white rice, and refined flour). Replace them with fiber-rich options like oats, brown rice, or whole grains. This will help lower your triglycerides.
Manage Uric Acid: High uric acid can lead to joint pain (gout) or kidney stones. Since your level is 7.2, try to limit red meat, seafood, and sweetened beverages. Continue drinking at least 2–3 liters of water daily to help your kidneys clear this out.
Physical Activity: You mentioned you aren't exercising. Even a 30-minute brisk walk daily can significantly improve your Grade 1 Fatty Liver and help move your HbA1c away from the pre-diabetic range.
Belly Size: A reduction in belly size is a great sign that your visceral fat is decreasing. This is the most important factor in reversing fatty liver.
Keep up with the water and sugar avoidance, you are on the right track but adding some movement will 'lock in' these improvements.
Next Steps
Repeat Lipid Profile
Do USG abdomen
Show me the reports.
Health Tips
Avoid alcohol intake (if you do)
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It is very good to see that you have made significant progress by simply improving your water intake and cutting sugar.It shows your body is responding well to small, positive changes.
Triglycerides, Uric Acid & Sugar 201 mg/dL are still in the High category
High triglycerides are linked to a sedentary lifestyle and a diet high in simple carbohydrates like white rice or maida, even if you avoid direct sugar.
Uric Acid 7.2 mg/dL is at the upper limit of normal not dangerous you should be careful with foods like red meat and continue drinking plenty of water to help your kidneys flush it out. HbA1c 5.7 is at the Prediabetes ,add some physical activity.
Next Steps
include high fiber foods salads, sprouts, whole grains ,20-30 minutes of brisk walking daily will help lower your Triglycerides and bring your HbA1c back below 5.7 Addressing it now with light exercise can prevent full diabetes later. don't try to change everything at once. Add walking first, then focus on others
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You need to change your dietary habits and lifestyle modifications. Good thing is that you are not consume sugar .go only proteineous diet and high fibre diet.drink plenty of water .after this your deranged lipid profile is also in normal value.
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Dier and exercise .please consult.
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Yes take plenty of water
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
Thanks for sending across your query.
Consultation is required. We will conduct necessary investigations based on your symptoms and take a detailed medical history After that we will decide the appropriate medication and also advise you on exercise walking, and dietary modifications.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Bukya Pushpanjali
Internal Medicine
7 yrs exp
Nizamabad
As your lipid profile is raised weight loss management should be done.yes water definitely improves metabolism
Along with water intake you should also concentrate on your nutrition and physical activity
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Continue sugar free diet, reduce fat intake as well. Focus more on fresh vegetables fruits, nuts, curd, fish if you take non veg. Do regular physical exercise, then slightly high triglycerides will also reduce.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Brisk walk 30 minutes per day
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