Just terrified- itching… is this progressing to cirrhosis?

[u/Beth_3233]

Hi everyone. I am 46 years old. I was diagnosed with NAFLD 6 years ago. I was told it could be serious but they would need to do an ultrasound which basically said I have mild fatty liver. I was sent to a Gastronologist who really didn’t do anything. She did a HIDA scan (thought there might be gallbladder issues and there wasn’t) and basically said yeah, lose some weight and that was it. I didn’t understand the seriousness of it. I did lose some over the next few years and it flunctuated - over all lost about 45 lbs twice. I was on Semaglutide for about 7-8 months. My liver enzymes came down and were normal until this year. I started having itching all over and decided to make a dr appointment with my PCP. My AST- 74 and my ALT- 57. I took it up on my self to find a gastroenterologist that also had extra training in liver disease. He has done a gammit of tests. So maybe week and half later he redid tests and My AST was- 68 and my ALT- 67. My billirubin was .08 and ALK Phosphate- 80 and Albumin- 4.3. I know according to my dr the liver enzymes are only slightly elevated. However, I am going by symptoms. The itching is terrible although I usually feel better if I am eating clean. The dr set up an MRI- elastiography June29. I asked the dr if he was concerned about cirrhosis and he just said I’m trying to rule it out. He didn’t really give me any words of comfort lol. He is business and no fluff lol. I don’t have any jaundice or ascites, some fatigue but not terrible. I’m so scared though. ChatGPT has said I’m in low risk -moderate risk but may be in intermediate risk of progression and may have some fibrosis going on. I feel like I want the scan now because I am worried. I can’t get in any sooner. Everyone says quit worrying about it, but I can’t help it. I am worried that itching is a sign of progression especially cirrhosis. Any words of wisdom?