Services

Dr Chetan Kalal | Expert Hepatology & Liver Transplant Physician

1. Advanced Hepatology Consultation

Evaluation and management of:

• Cirrhosis & portal hypertension

• Fatty liver (MASLD/MASH)

• Alcohol-related liver disease

• Viral hepatitis (HBV, HCV)

• Autoimmune & metabolic liver disorders

• Jaundice & abnormal LFTs

• Benign liver lesions (cyst, hemangioma)

2. Liver Transplant Evaluation

Comprehensive pre-transplant pathway:

• MELD scoring & prognosis

• CT/MRI review & HCC assessment

• Frailty and nutrition evaluation

• Cardiopulmonary fitness testing

• Medical optimisation for transplant readiness

• Donor counselling (living/deceased donor options)

3. Second Opinion (DM-Level Expert Review)

For complex or confusing cases:

• High-risk or rejected transplant cases

• Mixed/unclear diagnoses

• Recurrent decompensation

• Conflicting medical opinions

• International report review

Includes structured recommendations and clear next steps.

4. Global Virtual Consults

International patients from US, UK, UAE, Dubai, Singapore, Australia, New Zealand, Canada, Europe & Middle East receive:

• Report + imaging review

• Liver failure management

• Transplant eligibility opinions

• Medication optimisation

• Aftercare planning

5. IPD & ICU Hepatology Care

Specialised inpatient management for:

• ACLF

• Hepatic encephalopathy

• Variceal bleeding

• Severe alcoholic hepatitis

• Ascites (refractory/complicated)

• Hepatorenal syndrome

• Urgent transplant stabilization

6. Post-Transplant Care

Long-term precision care:

• Immunosuppression modulation

• Rejection surveillance

• Infection prevention

• Renal & metabolic monitoring

• Cancer surveillance

• Nutrition & lifestyle support

7. Fatty Liver (MASLD/MASH) Reversal Program

A structured metabolic clinic focusing on:

• Insulin resistance assessment

• Fibrosis staging (FibroScan)

• Protein & nutrition optimisation

• Muscle-mass tracking

• Weight + body composition guidance

• Individualised reversal plans

8. Viral Hepatitis Program (HBV/HCV)

• HBV staging & antiviral therapy

• HCV DAA treatment (curative)

• Family screening

• Liver cancer (HCC) surveillance

• Management of co-morbid metabolic risks

9. Liver Cancer (HCC) Surveillance & Management

• Ultrasound + AFP screening

• Advanced imaging for staging

• Surgical/IR referral pathways

• Transplant eligibility for HCC

• Curative and palliative options

10. Diagnostic Services

• FibroScan

• Liver ultrasound interpretation

• Comprehensive LFT interpretation

• Medication toxicity evaluation

• Non-invasive fibrosis scoring

11. Obesity, Metabolic & Frailty Clinic (NEW)

A specialised clinic designed for liver patients with metabolic risk, muscle loss, or frailty — crucial for transplant outcomes and long-term survival.

Who It Helps

• Fatty liver / MASLD / MASH

• Obesity

• Sarcopenia (muscle loss)

• Frailty in cirrhosis

• Pre- and post-transplant weakness

• Diabetes/metabolic syndrome

• Rapid weight or muscle decline

What the Clinic Offers

Metabolic Evaluation:

• Insulin resistance panel

• Body composition & sarcopenia assessment

• Nutrition & protein optimisation

• Weight trajectory analysis

Frailty Assessment:

• Grip strength & gait testing

• 6-minute walk test

• Functional muscle assessment

• Fall-risk screening

Interventions:

• Liver-safe weight management

• High-protein medical nutrition plans

• Strength-building protocols

• Sarcopenia reversal strategies

• Pre-transplant frailty correction

• Post-transplant metabolic optimisation

Goal:
Build liver resilience, reduce complications, and improve survival — especially before and after transplant.

Consultation Fees

• Virtual Consults: Available worldwide

Book Appointment

Website: drchetankalal.com