<p>I provide hepatology consultations in English for patients living in or visiting Warsaw who need an assessment of liver health. This includes people referred for abnormal liver blood tests, individuals with a new or existing diagnosis of fatty liver disease, patients with viral hepatitis, and anyone with questions about how alcohol use or medications may be affecting their liver. As a specialist in infectious diseases who also practices hepatology, I see liver problems in the wider context of a patient's overall health, including infections, travel history and medication use.</p> <h2>Conditions I address</h2> <p>Common reasons patients book a hepatology consultation with me include:</p> <ul> <li>Elevated liver enzymes (ALT, AST, GGT) found on routine or pre-employment blood tests</li> <li>Fatty liver disease, also known as MASLD (metabolic dysfunction-associated steatotic liver disease, formerly called NAFLD)</li> <li>Hepatitis B, including chronic infection, carrier status and monitoring</li> <li>Hepatitis C, including diagnosis, referral for treatment and follow-up (see <a href="/en/hepatitis-c-treatment-warsaw">hepatitis C treatment in Warsaw</a>)</li> <li>Alcohol-related liver disease</li> <li>Drug-induced liver injury, where prescription medication, over-the-counter drugs or supplements may be contributing to abnormal liver results</li> </ul> <p>Each of these is assessed individually. A consultation does not replace emergency care, and patients with severe symptoms should seek urgent medical attention.</p> <h2>Preparing for your appointment</h2> <p>To make the most of the consultation, please bring:</p> <ul> <li>Recent liver blood test results, ideally from the last three months</li> <li>Any earlier test results or imaging reports (ultrasound, elastography/FibroScan, CT or MRI) relevant to your liver</li> <li>A list of current medications, over-the-counter drugs and supplements, including doses</li> <li>Information on alcohol consumption and relevant lifestyle factors</li> <li>Details of any known viral hepatitis diagnosis or previous vaccination against hepatitis A or B</li> </ul> <p>If you do not yet have blood test results, the relevant laboratory tests can be arranged as part of the visit.</p> <h2>What happens during the consultation</h2> <p>The consultation includes a review of your medical history, current symptoms and existing test results, a physical examination where appropriate, and a discussion of further diagnostics if needed, such as additional blood tests or imaging. Depending on the findings, I explain the likely cause of abnormal results, outline a monitoring or referral plan, and issue any prescriptions or medical certificates required. Consultations are available both in person at the clinic and online.</p> <h2>About Dr Pyziak-Kowalska</h2> <p>I am a specialist in infectious diseases with more than 20 years of clinical experience, and I also practice hepatology and travel medicine. Since 2023 I have headed a branch of the Polish National Network of Travel Medicine Centres and I am a member of the Polish Society of Maritime, Tropical and Travel Medicine. My research as first author on HIV and hepatitis C testing has been published in peer-reviewed journals, most recently in PLOS ONE (2026). More about my background is available on the <a href="/en/about-dr-pyziak-kowalska">about page</a>; for infections and other internal medicine concerns beyond the liver, see <a href="/en/infectious-disease-doctor-warsaw">infectious disease consultations in Warsaw</a>.</p> <h2>For international patients in Warsaw</h2> <p>Consultations are held in English, both in person and online, and the clinic reception also speaks English. No Polish PESEL number is required; a passport or residence card is sufficient for registration. Payment is accepted by card, bank transfer or BLIK, at the same prices as for Polish patients. Hepatology and infectious-disease consultations for children are available from age 6; younger children are referred to a paediatric specialist. The clinic, ZnajomaKlinika, is located at ul. Stefana Żeromskiego 55/67 in the Bielany district, close to Żoliborz, and is reachable via metro line M1 (Słodowiec or Stare Bielany stations).</p> <h2>Appointments</h2> <p>Hepatology and infectious-disease consultations are available Monday to Wednesday, 14:00-20:00, and Saturday, 9:30-15:30, in person or online. The consultation fee is 400 PLN, with follow-up visits at 350 PLN. To register, call +48 22 273 48 22 or +48 608 030 750, or email kontakt@doktorpyziak.pl. You can also <a href="/en/book-appointment">book an appointment online</a>.</p>