Weight loss through improved diet and increased physical activity has been the cornerstone therapy of NAFLD. Recent therapies such as pioglitazone and vitamin E have been shown to be beneficial. Omega 3 polyunsaturated fatty acids and statins may offer additional benefits.,,,"
See: Clinical approaches to non-alcoholic fatty liver disease.
http://www.ncbi.nlm.nih.
For women who are unresponsive to clomiphene,the oral hypoglycemic agents like metformin could be of little help, or pioglitazone, may bring resumption of regular cycles and ovulation. These agents reduce the hyperinsulinemia and hyperandrogenemia in PCOS.
These are actually medically prescribed medicines for PCOS.As this syndrome is very common in women the case is often individualised and treatment option will be processed and prescribed.Fell free to talk to your Doc.
Is the pitting edema progressive? Are you on pioglitazone? or rosiglitazone? Answers to these questions would further help.
I am obese (300lbs), diabetic (type 2) and require medication to control hypetension. I take the following medications – Metformin, Pioglitazone, Victoza (liraglutide), Amlodipine, Ramipril, Bendroflumethiazide, Asprin and Statin.
I have a strange and embareasin problem. I hope someone out there may be able to offer some insight. I have always had sensitive nipples but in the last few days sensitivity in my left nipple has gone crazy.
HI,
It sounds like your wife will definitely need an additional medication--if not restarting the Pioglitazone, then an alternative. There are lots of different diabetes medications available that will help. Those glucose levels are indeed too high and should be addressed soon. Please ask your wife to contact her doctor as soon as possible(I suggest within the next 2 days a most) and discuss being started on another medication to bring her levels down.
Evangelin posted about this youtube video. "Sugar , the bitter truth"
It is a long video , but what I did not know before watching it is that
High Fructose Corn Syrup metabolically is as bad as alcohol for the liver.
The majority of processed foods we find in the supermarket have High Fructose
Corn Syrup which can majorly effect obesity and fatty liver.
Other newer insulin-sensitising medicines include pioglitazone. This is not currently recommended for PCOS. For certain people with PCOS, a specialist may advise that metformin be taken. However, further research is needed to confirm the role of these medicines in the treatment of PCOS.
Insulin-sensitizing agents, such as the two new thiazolidinediones, pioglitazone (Actos) and rosiglitazone (Avandia), and metformin (Glucophage)
Medications that lower lipids such as statin drugs and Lopid
Drugs that improve blood flow, such as pentoxifylline (Trental)
Presumably, weight loss through exercise and diet modification along with insulin-sensitizing agents will help reverse fatty infiltration of the liver.
s benefits are less clear, according to the latest findings from the Pioglitazone vs Vitamin E vs Placebo for the Treatment of Nondiabetic Patients with Nonalcoholic Steatohepatitis (PIVENS) trial, reported online April 28 in the New England Journal of Medicine......."
See: http://www.medscape.com/viewarticle/721221?sssdmh=dm1.615392&src=nldne&uac=39980BG
I hope this helps.
Studies of these medications—including metformin, rosiglitazone, and pioglitazone—are being sponsored by the National Institutes of Health and should answer the question of whether these medications are beneficial in NASH.
Recommended
