any sign of advanced fibrosis or cirrhosis?

my last 4 tests:

test1 (april 2013): ast: 34, alt:45, platelet: 161
test2 (march 2014): ast: 33, alt:37, platelet: 172
test3 (may 2014): ast: 33, alt:27, platelet: 148
test4 (september 2014): ast: 34, alt:32, platelet: 147

any sign of advanced fibrosis or cirrhosis?

No, I am serious because my platelets are low.
Why said joking? No joke for health problems!

in my place taking an appointment from a hepatologist takes around 4-6 months. my family doctor said nothing to worry but he is not specialist and hence i doubted.

themiz,

since my liver problems were due to non-alcoholic fatty liver fat (nash), i do not eat food including sugar, no meat and I mainly eat vegetables. my b12 level (which is also a factor for platelet count) is slightly higher than the normal range: b12 was 209 in the the last test I did 2 days ago and normal range for b12 is (191-663). In January 2014, i consumed a lot of tuna fish and that is rich in b12 but also tuna fish includes high amount of mercury which is toxic and hence bad for liver. as a result my liver enzymes in 2014 raised 2 times but my platelet b12 level was 398 at that time.
in the test in march 2014, my platelet count was 172 and i thought this maybe due to an increase in b12 level in the period of January 2014 but i am not sure.

the platelet of my father are slightly higher than the normal range and maybe for me it is genetic, if the problems are not related to advanced liver disease or vegetarian diet.

Post Edited (just_man) : 9/15/2014 7:13:52 PM (GMT-6)

this is what I received today from a liver expert on cirrhosis:

Dear:

I have taken some time to review your nicely organized data. I believe that you have early but definite cirrhosis as evidenced by a slightly low platelet count but a normal albumin and INR levels. I think NAFLD is the correct diagnosis as evidenced by the return of AST and ALT and Bilirubin levels to normal with weight reduction through exercise and diet and slight relapse with return to a more sedentary life style. The pain was likely due to the distention of the liver capsule by fat. Your current discomfort appears to be irritable bowel syndrome with it relation to bowel movements. I would back off such frequent blood testing and continue to follow a good diet, and maintain your weight loss with exercise.

Best regards,

That's good news!!!!
You must be doing a good job with your diet and exercise. And your ast/alt is consistently normal. Keep up the good job .
By eliminating the inflammation , hopefully your liver can heal somewhat. Eliminating stress can also serve your body well.
Best to you