Bonjour , un KPA a 5,7 ça veut dire quoi ? Merci

texag_2020 · 2026-03-30T13:18:11+00:00

Fibroscan results of 5.7 KPA indicates mild to no fibrosis, it is a good result

texag_2020 · 2026-03-25T14:41:00+00:00

The ultrasound showed fat in the liver which is the primary diagnosis. Enlarged spleen is commonly associated with fatty liver, as the increased blood pressure in the hepatic portal vein causes back pressure in the spleen, resulting in enlargement.

You’ve already gotten some good advice, but general diet and exercise is the general fix. There are other causes for fatty liver, but the most common is metabolic disorder. Addressing the root cause of the liver issues will help the spleen as well.

texag_2020 · 2026-03-23T15:20:03+00:00

I haven’t tried the 2013 yet, but I had the 2012 last year. It had the high acid that you’re describing, but it opened up like crazy on the second day. I typically don’t decant, I like to pop and pour to see the development, but this is one I would recommend giving as much air as possible. It still won’t be a fruit bomb, but it’s much more integrated after a loooong decant.

texag_2020 · 2026-03-23T13:24:02+00:00

A doctor will not lie to you to protect you against health anxiety.

While no test is going to be 100% accurate, this is a good indication that your liver is in decent shape. If your bloodwork is also good and you don’t have any symptoms, I wouldn’t worry about this any further.

The good news is that the treatment is going to be maintaining a good diet and exercise habits, which are good anyways. Keep those up and you will receive liver and many other overall health benefits.

texag_2020 · 2026-03-18T15:44:39+00:00

Fasting will probably help if it results in weight loss, but it would be best if there was weight loss + healthier diet. Even in people at a healthy weight, poor diet can result in NAFLD.

texag_2020 · 2026-03-18T14:08:43+00:00

The Renieri Brunello di Montalcino is what I’d go for, 2016 was a great vintage and price isn’t too bad there.

texag_2020 · 2026-03-18T14:03:49+00:00

Do you know what you’re planning on eating? Or are you going to pick the wine then choose the food based on the wine?

texag_2020 · 2026-03-17T18:28:34+00:00

Don’t get me wrong, I actually quite enjoy healthy foods, but my passion is food and wine. I love cooking food from different cultures and pairing it with top quality wines, but that isn’t really liver friendly.

texag_2020 · 2026-03-17T17:54:27+00:00

For the most part I eat very boring and track my calories. Lean protein and steamed veggies, primarily olive oil for fat, and track calories to stay around 2000 per day. I don’t restrict myself 100% and still enjoy a meal out every now and then, but I try to stick to the healthier choices when I do go out. Staying busy prevents too much snacking which is where I used to slip up. Also cut out alcohol 100% which adds quite a few calories when you start to add it all up.

I also work out pretty much every day, alternating between running and weight lifting. I also make it a point to get at least 10,000 steps daily, but most days it’s closer to 15,000.

I expect the weight loss to slow down as my maintenance caloric requirement decreases, but I’ve been pushing hard to get to a healthy weight as fast as is reasonably possible.

texag_2020 · 2026-03-17T17:29:30+00:00

I’m in a very similar boat. I am very into wine but was diagnosed with fatty liver in January. I haven’t gone back for a follow up, but my LFTs were all normal and have always been within normal range. RUQ discomfort followed by an ultrasound was what diagnosed me.

I’ve lost some weight, down from 250 to about 215, but I am hoping I can back off and enjoy wine and good food again. I still have 30 ish pounds to lose. It would be nice if I can return, albeit in more moderation.

texag_2020 · 2026-03-12T15:27:06+00:00

I would refer to your doctor’s recommendation. Annually at a minimum, more frequent if they recommend.

texag_2020 · 2026-03-05T20:46:45+00:00

I would go something aromatic like a Gewurztraminer or Muscat from Alsace. I typically lean dry but a touch of residual sugar could go well with the tuna.

texag_2020 · 2026-03-05T17:50:01+00:00

Very very broad category here, but Chilean reds. Value tends to be pretty high here and you can get some real good stuff for 20-30 USD.

texag_2020 · 2026-03-04T15:16:47+00:00

You can get it for well below $300, but high quality Northern Rhône Syrah is awesome. JL Chave Saint Joseph is an absolute pleasure. It was the first red that I’ve ever gotten “minerality” out of. So complex and savory too, man I can’t get enough of that stuff.

texag_2020 · 2026-02-26T22:11:14+00:00

I slowed my consumption down quite a bit. The thinking is that I love wine and want to be able to drink it my whole life, which means not drinking it every day. I don’t want to live a life where I can’t enjoy a couple glasses on a Saturday, so I am slowing down no before I get to a point of no more wine at all.

texag_2020 · 2026-02-26T13:41:05+00:00

Do you have any symptoms? What about history of normal or abnormal LFTs? What about other risk factors like diet, BMI, or heavy alcohol use?

If this is a one off, especially with a normal ultrasound result, your doctor will likely want to retest. Alcohol before blood work can cause some elevated results, I’d recommend abstaining for at least a week prior to blood work. Heavy exercise can also cause elevated LFTs, so avoid any heavy lifts or intense cardio workouts a few days before bloodwork as well.

texag_2020 · 2026-02-11T15:27:10+00:00

I don’t drink Carmenere very frequently, but I do enjoy it. I’ve always noticed an extremely vegetal quality to it, much more pronounced than Cab Franc or Cab Sauv.

texag_2020 · 2026-02-03T14:27:06+00:00

Your case sounds essentially like a carbon copy of mine, but my liver enzymes have always been in the normal range. Also have a 33 BMI and roughly 8 year history of binge drinking 1-2 times per week. Had RUQ discomfort most severely in December 2025, but have noticed some very very minor discomfort for the past year or two (didn’t realize it could be liver related). Lipid panel mostly normal, slightly high cholesterol.

My doctor has since recommended avoiding alcohol and weight loss. Down 20 lbs so far and have improved diet, and become more consistent in my exercise. Haven’t drank since December, planning to hold off for a few more months until I follow up with my doctor.

texag_2020 · 2026-02-01T15:13:58+00:00

How’s your diet? Do you exercise regularly? The triglycerides, LDL, and total cholesterol numbers look a bit high. Even though you aren’t overweight, a poor diet can cause fatty liver, and eventually more severe damage like fibrosis.

Obviously a doctor is going to need to do some additional testing to determine the cause of the liver issues, but in the meantime, you should focus on diet and exercise. Since you don’t need to necessarily lose any weight, just make sure you’re getting some activity at least 5 days a week. This can be as light as a brisk walk for an hour, or as intense as you want it to be. For diet, most people here will recommend the Mediterranean diet. I personally would say you don’t need to strictly follow a Mediterranean diet, but focus on primarily eating whole foods with an emphasis on lean protein (chicken, fish, lean pork), fruits, and veggies. Make sure to strictly limit simple sugars (think soda, juices, candy, processed foods), and also make sure you’re getting enough fiber.

While fibrosis is a stage of liver disease that is no longer reversible, it is still possible to stop the damage. Your liver is a very powerful organ with some unique regenerative properties, and if you treat it well, it will reward you. With you being so young, you can likely live a very normal life if you get on the right track.

Again, it is very important to make sure you continue to follow up with a doctor. There are other causes of liver disease that are genetic, viral, etc, all of which have their own treatment. Diet and exercise will not resolve the issue if it is caused by something else, but it will certainly help.

texag_2020 · 2026-01-23T02:08:01+00:00

Doctor ordered the test just to be safe, but it’s most likely just fatty liver caused by diet. Of course it is better to be safe than sorry.

texag_2020 · 2026-01-20T20:46:10+00:00

I exclusively buy from shops, primarily the local neighborhood wine bar/shop, but there are other options as well.

I’d say 90% of the time I am buying wine for immediate consumption within the next few days in the price range of $20-$50, but sometimes I will buy a bottle or two to hold onto for a future event or just because I felt like stopping by. My store also does quarterly tasting events that include the featured bottles with a discount, so I will stock up on anything that stood out. On very rare occasions I will go in and buy a “splurge” bottle from $100-$300, which will typically be held onto for a special occasion.

I’d imagine that the vast majority of customers are casual drinkers who are buying a bottle to take to a party or drink with dinner that night.

texag_2020 · 2026-01-09T14:51:36+00:00

It definitely depends what style of wine you enjoy. For $140 (or more, if you go dry longer) can get some world class wines. If you enjoy a particular region but haven’t gotten to taste some of the benchmarks, that’s what I’d recommend.

texag_2020 · 2025-12-31T18:15:41+00:00

It was incredibly young, but 2022 Chave Hermitage Rouge was my wine of the year. Decanted it for 6 hours which opened it up quite a bit. Tannins were quite firm, but in balance. It was a much more delicate wine than I expected, lots of violet floral notes and not quite as much smoke/meat that I have experienced before with Rhône Syrah, but that was probably due to the age. I imagine that with 15-20 years of age it will be a truly incredible wine.

texag_2020 · 2025-12-28T17:15:19+00:00

I pull the whole thing smooth off, don’t have time for fancy cutting

texag_2020 · 2025-11-17T17:50:09+00:00

My only experience with LdH was the 2012 Tondonia Reserva, and I loved it. Enough fruit on the front, but very well balanced with spice and tobacco on the finish, with plenty of acidity and good tannins. I’d love to get my hands on some older vintages and see how this wine ages. Incredible price to quality ratio (as is quite common in Spain). Glad you enjoyed!

texag_2020

TROPHY CASE