Lívia Hepner, MD
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Your liver can heal. Let’s start early.

Hepatology and gastroenterology care in São Paulo and online, with Fibroscan® liver elastography in the clinic.

Book a visit Dr. Lívia HepnerHepatologist · Gastroenterologist

Liver disease is quiet.

Fat, viruses, alcohol and some medicines can damage the liver for years before you feel anything. Most people only find out from a routine blood test.

So we measure, instead of guessing.

Fibroscan® reads how stiff your liver is in about ten minutes, with no needle. The number shows how much scarring there is, and how fast we should act.

Then we build a plan around your life.

Treating the cause is the treatment: a virus, weight, blood sugar, alcohol or a medicine. Small, steady changes, followed up with numbers.

And the liver does what no other organ can.

It regenerates. Healthy liver tissue can regrow after losing up to two-thirds of its mass, and early scarring can often go back.

Start with a visit
  • Board-certified in gastroenterology and hepatology
  • Fibroscan® elastography and CAP in the clinic
  • 15 years caring for liver disease
  • Same-day exam results
  • Visits in English, Portuguese and Spanish

Care for the whole digestive system, with the liver at the center.

Bright consultation room with an oak desk, two olive chairs and sheer curtains

Heartburn that won’t go away, bloating, changes in bowel habits, abdominal pain. We look at your history, your routine and your tests together, and build a plan you can actually follow.

  • Reflux and gastritis
  • Irritable bowel and bloating
  • Pancreas and nutrition

What your Fibroscan® number means.

Move the slider to a stiffness value and see how the liver tissue changes. The stiffer the liver, the more scar tissue it usually has.

Illustration of liver lobules. As the stiffness value rises, scar bands thicken between the lobules.

Educational illustration. Approximate cut-offs; they vary by condition and by patient, and your doctor interprets your result together with your history and tests.

  1. Before

    Fast for 3 hours. Wear something easy to lift at the waist.

  2. During

    You lie down for about 10 minutes while a probe rests on your right side. It feels like a light tap.

  3. After

    We go over the numbers together the same day and plan the next step.

Conditions we treat.

Search for a condition or a word from your test results. Each one explains what it is, what to watch for and when to book.

Your first visit, in person or online.

Choose how you’d like to meet. The checklist saves as you tick it, so you can come back before the day.

Visit type
Length
50 minutes
Where
Clinic in Vila Mariana, São Paulo
Includes
Fibroscan® on the same day, if needed
What to bring

Portrait of Dr. Lívia Hepner

Dr. Lívia Hepner

Gastroenterologist · Hepatologist

“Most of my patients arrive scared of a word on a test result. My job is to turn that word into a plan.”

Lívia trained in internal medicine and gastroenterology in São Paulo, with board certification in hepatology and digestive endoscopy. Her postdoctoral research focused on metabolic fatty liver disease and on non-invasive ways to measure liver scarring.

Today she divides her time between the clinic, teaching residents at a university hospital and explaining liver health in plain language for the press.

  • English
  • Português
  • Español

Journal

Articles, interviews and notes from medical meetings.

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Book a visit

Three short steps. We confirm by email within one business day.

  1. Reason
  2. Visit
  3. Contact

Prefer to call? +55 11 5555-0142

What brings you in?

Questions

Do I need a referral?

No. You can book directly. If you have a referral letter or recent tests, bring them along.

Does Fibroscan® hurt?

No. You feel a light tapping on the skin. There is no needle and no recovery time, and you can go back to your day right after.

Can fatty liver be reversed?

In many people, yes. Losing a modest amount of weight, moving more and cutting back on alcohol and sugary drinks can reduce liver fat and, over time, inflammation. Your plan depends on your tests.

Do you see international patients?

Yes. Visits are available in English, Portuguese and Spanish, in person in São Paulo or by telemedicine where local rules allow.

Which health plans do you accept?

Visits are private, with a receipt you can submit to your insurer for reimbursement. Our team can help with the paperwork.