Fatty Liver, High Cholesterol, and Statins
Digestion Q&A by Dr. Lee
Viewer question: My doctor told me that I have fatty liver and high
cholesterol. He also said that my liver is slightly inflamed because my
liver tests are mildly abnormal. He wants me to lose weight, exercise
and take Lipitor to lower my cholesterol. I also read that Lipitor can
have liver side effects. Is it safe to take Lipitor in somebody like me?
Doctor's response: Low dose statins like atorvastatin (Lipitor) are safe in patients with mild liver disease
(for example, patients with fatty liver and mildly abnormal liver
tests in the blood such as ALT and AST).
Facts about the liver
- The liver is an essential organ that has many
functions in the body, including making proteins and blood clotting factors,
manufacturing triglycerides and cholesterol, glycogen synthesis, and bile
- The liver is a large organ that sits on the
right hand side of the belly.
- The liver is the body's largest internal
- Many different disease processes can occur in
the liver, including infections such as hepatitis, cirrhosis (scarring),
cancers, and damage by medications or toxins.
- Symptoms of liver disease can include
- Alcohol can be toxic to the liver
(hepatotoxic), especially in high doses, and long-term alcohol abuse is a common
cause of liver disease.
- The liver is involved in metabolizing many
toxins, including drugs and medications, chemicals, and natural substances.
What is the liver? Is it a gland or an organ?
The liver is one of the vital organs of the body, responsible for hundreds of chemical actions that the body needs to survive. It is also a gland because it secretes chemicals that are used by other parts of the body. For these reasons the liver is both an organ and a gland; in fact, it is the largest internal organ in the body.
What is the function of the liver?
The liver has multiple functions. It makes many of the chemicals required by the body to function normally, it breaks down and detoxifies substances in the body, and it also acts as a storage unit.
Hepatocytes (hepar=liver + cyte=cell) are responsible for making many of the proteins (protein synthesis) in the body that are required for many functions, including blood clotting factors, and albumin, required to maintain fluid within the circulation system. The liver is also responsible for manufacturing cholesterol and triglycerides. Carbohydrates are also produced in the liver and the organ is responsible for turning glucose into glycogen that can be stored both in the liver and in the muscle cells. The liver also makes bile that helps with food digestion.
The liver plays an important role in detoxifying the body by converting ammonia, a byproduct of metabolism in the body, into urea that is excreted in the urine by the kidneys. The liver also breaks down medications and drugs, including alcohol, and is responsible for breaking down insulin and other hormones in the body.
The liver is also stores vitamins and chemicals that the body requires as building blocks. These includes:
Medically Reviewed by a Doctor on 4/5/2016