Meditteranean diet

[Anonymous]

Anonymous wrote:

Anonymous wrote:Incorporating more vegetables into your daily meals is good for most people, but if you actually look at the fatty liver treatment recommendations from hepatology associations, the key element is weight loss of 7%-10% of total body weight being associated with reversal of steatosis.

The "Mediterranean diet" is often recommended, but you could achieve this by following other dietary "plans". In general I recommend that patients with this condition transition to non-processed whole foods as much as possible with an emphasis on vegetables and some fruit, whole grains, fish/chicken, legumes, etc. which mostly lines up with the "Mediterranean diet". But that doesn't necessarily mean to eat foods that originate in that region, like dates are not BAD but they're calorie dense with a lot of natural sugar/carbs so it's not the same as eating a mostly-veggie greek salad. You still have to consider portion size. It's easier for a doc to say "follow X diet" than to get into detail about why you're transitioning your eating style, goals of the diet change and personalizing it.

Key here is yes, incorporate some healthy fats, but you are trying to create a caloric deficit so you will lose weight and lose fat which is being stored in the liver and affecting liver function. It's also ideal to quit drinking alcohol in this situation.

But yes roasted veggies with olive oil and spices are fantastic, and they're great on the grill this time of year, and you can do a warm grain and veggies salad, etc- lots of possibilities.

https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/cld.1045

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092580/

OP here - ok but I weigh 135 and am 5'7.

Also, I quit drinking and will retest levels at the end of September.

[Anonymous]

Anonymous wrote:1 cup of dates = 414 calories and 93 grams of sugar

who the heck eats a cup of dates!! yikes, you put a date or 2 in a smoothie, stuff 1 large varietal with some mascarpone and nuts for dessert or to break your fast ().

my goodness, a whole CUP, you'd get hives, pimples, a heart attack! like eating an entire leg of lamb by yourself. The only time you need a cup of dates is if you are making date bars or run a smoothie stand. You wouldn't even put that many in date bars actually.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:1 cup of dates = 414 calories and 93 grams of sugar

Most people can’t eat an entire cup of dates at once, personally it’s one or maybe two and I’m OverThem.

A cup of dates is about 5 or 6 dates tops. A lot of people are capable of eating a lot more than that.

Capable? Maybe but, some of us have control. You are making dates sound like chocolate cake!

They are not like chocolate cake. They are better than chocolate cake.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Try grilled vegetables - cut zucchini into thick pieces, toss in olive oil, and put on the grill. Sautee frozen broccoli florets or green beans in olive oil. Boil fresh asparagus for 6 minutes. Bake fresh cut up cauliflower on a baking sheet after tossing in olive oil.

Asparagus should never be boiled. Steamed or grilled.

Why not??

Because it is ruined that way and all the nutrients are lost. Really I can't believe I am having to explain this to people. Where did you grow up, under a rock in Kentucky?

You are being trolled, my love. Don't get upset.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Isn’t the “Mediterranean Diet” just…normal eating?

Yes, if you are from Ikara.

I'm not. Just seems like a perfectly ordinary diet to me.

[Anonymous]

Anonymous wrote:Op I suggest an air fryer. I started roasting a lot of veggies in it (and now rarely use my oven for anything!) and it really makes them
Delicious. My kids eat 2x as many veggies as they used to.mostly we do olive oil and garlic salt but you can explore…green beans with a touch of sesame of oil garlic and hot pepper is good. I also roast salmon in ir. Beans and legumes are also encouraged; just remember only small servings of pasta (we do whole wheat with broccoli chickpeas garlic hot pepper for a quick dish). I haven’t used it in a while but I always like Macella habana Mediterranean light cookbook.

+1 on the air fryer.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Op I suggest an air fryer. I started roasting a lot of veggies in it (and now rarely use my oven for anything!) and it really makes them
Delicious. My kids eat 2x as many veggies as they used to.mostly we do olive oil and garlic salt but you can explore…green beans with a touch of sesame of oil garlic and hot pepper is good. I also roast salmon in ir. Beans and legumes are also encouraged; just remember only small servings of pasta (we do whole wheat with broccoli chickpeas garlic hot pepper for a quick dish). I haven’t used it in a while but I always like Macella habana Mediterranean light cookbook.

+1 on the air fryer.

Do they take a lot of kitchen space?

[Anonymous]

Honestly for non alcoholic fatty liver the best thing it to cut down on sugar and refined carbs and eat less frequently. Do you consume a lot of sugar or fructose?

[Anonymous]

Anonymous wrote:Honestly for non alcoholic fatty liver the best thing it to cut down on sugar and refined carbs and eat less frequently. Do you consume a lot of sugar or fructose?

No. I don’t eat that. Or much of it.
I’m not sure my fatty liver is non alcohol related though. I stopped drinking July 5 and will retest levels Oct 1.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Honestly for non alcoholic fatty liver the best thing it to cut down on sugar and refined carbs and eat less frequently. Do you consume a lot of sugar or fructose?

No. I don’t eat that. Or much of it.
I’m not sure my fatty liver is non alcohol related though. I stopped drinking July 5 and will retest levels Oct 1.

I'm the previous poster who talked a lot about fatty liver and weight loss. If you just had elevated liver associated enzymes on bloodwork and didn't have specific testing for fatty liver (FibroScan to test elasticity, liver MRI for fat content, biopsy) and you aren't overweight or with metabolic syndrome related comorbidities (diabetes or prediabetes, etc.) then don't assume it's fatty liver. It's certainly possible but I wouldn't assume.

Persistently elevated liver associated enzymes should trigger a more extensive workup including potential infectious and autoimmune etiologies. In the modern US alcohol related and fatty liver related elevations are what GI sees the most but there are lots of other causes of liver injury. The liver enzymes can be transiently higher after illness - it's seen in a percentage of COVID patients after infection for example.

Did you see a GI or your primary care?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Honestly for non alcoholic fatty liver the best thing it to cut down on sugar and refined carbs and eat less frequently. Do you consume a lot of sugar or fructose?

No. I don’t eat that. Or much of it.
I’m not sure my fatty liver is non alcohol related though. I stopped drinking July 5 and will retest levels Oct 1.

I'm the previous poster who talked a lot about fatty liver and weight loss. If you just had elevated liver associated enzymes on bloodwork and didn't have specific testing for fatty liver (FibroScan to test elasticity, liver MRI for fat content, biopsy) and you aren't overweight or with metabolic syndrome related comorbidities (diabetes or prediabetes, etc.) then don't assume it's fatty liver. It's certainly possible but I wouldn't assume.

Persistently elevated liver associated enzymes should trigger a more extensive workup including potential infectious and autoimmune etiologies. In the modern US alcohol related and fatty liver related elevations are what GI sees the most but there are lots of other causes of liver injury. The liver enzymes can be transiently higher after illness - it's seen in a percentage of COVID patients after infection for example.

Did you see a GI or your primary care?

Thank you for this.
I had a liver MRI. Mild stenosis. Two benign lesions.

[Anonymous]

I also had Covid mid May

[Anonymous]

Mild steatosis, sorry.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Incorporating more vegetables into your daily meals is good for most people, but if you actually look at the fatty liver treatment recommendations from hepatology associations, the key element is weight loss of 7%-10% of total body weight being associated with reversal of steatosis.

The "Mediterranean diet" is often recommended, but you could achieve this by following other dietary "plans". In general I recommend that patients with this condition transition to non-processed whole foods as much as possible with an emphasis on vegetables and some fruit, whole grains, fish/chicken, legumes, etc. which mostly lines up with the "Mediterranean diet". But that doesn't necessarily mean to eat foods that originate in that region, like dates are not BAD but they're calorie dense with a lot of natural sugar/carbs so it's not the same as eating a mostly-veggie greek salad. You still have to consider portion size. It's easier for a doc to say "follow X diet" than to get into detail about why you're transitioning your eating style, goals of the diet change and personalizing it.

Key here is yes, incorporate some healthy fats, but you are trying to create a caloric deficit so you will lose weight and lose fat which is being stored in the liver and affecting liver function. It's also ideal to quit drinking alcohol in this situation.

But yes roasted veggies with olive oil and spices are fantastic, and they're great on the grill this time of year, and you can do a warm grain and veggies salad, etc- lots of possibilities.

https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/cld.1045

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092580/

OP here - ok but I weigh 135 and am 5'7.

You sound fine!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Incorporating more vegetables into your daily meals is good for most people, but if you actually look at the fatty liver treatment recommendations from hepatology associations, the key element is weight loss of 7%-10% of total body weight being associated with reversal of steatosis.

The "Mediterranean diet" is often recommended, but you could achieve this by following other dietary "plans". In general I recommend that patients with this condition transition to non-processed whole foods as much as possible with an emphasis on vegetables and some fruit, whole grains, fish/chicken, legumes, etc. which mostly lines up with the "Mediterranean diet". But that doesn't necessarily mean to eat foods that originate in that region, like dates are not BAD but they're calorie dense with a lot of natural sugar/carbs so it's not the same as eating a mostly-veggie greek salad. You still have to consider portion size. It's easier for a doc to say "follow X diet" than to get into detail about why you're transitioning your eating style, goals of the diet change and personalizing it.

Key here is yes, incorporate some healthy fats, but you are trying to create a caloric deficit so you will lose weight and lose fat which is being stored in the liver and affecting liver function. It's also ideal to quit drinking alcohol in this situation.

But yes roasted veggies with olive oil and spices are fantastic, and they're great on the grill this time of year, and you can do a warm grain and veggies salad, etc- lots of possibilities.

https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/cld.1045

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092580/

OP here - ok but I weigh 135 and am 5'7.

You sound fine!

Except I have a fatty liver