Meditteranean diet

[Anonymous]

Anonymous wrote:

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

You might need to leave it longer than 3 months to re-test. 6 will be a better recovery time

[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!

10-12 Medjool dates = 1 cup. Not many people eat that many.

[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?

Do you drink herbal teas? There are some that can mess with liver enzyme measures.

[Anonymous]

I do not drink herbal tea.

[Anonymous]

also, my MRI actually showed a fatty liver, not just enzyme suggested.

[Anonymous]

Anonymous wrote:also, my MRI actually showed a fatty liver, not just enzyme suggested.

Oh, ok. Then, yes, you need to address it.

[Anonymous]

Broiled fish and roasted vegetables. Mmmmm

[Anonymous]

Op, how much were you drinking previously? Your weight seems good to me.

[Anonymous]

Anonymous wrote:Op, how much were you drinking previously? Your weight seems good to me.

two every night and 3 on weekend nights. Too much.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Op, how much were you drinking previously? Your weight seems good to me.

two every night and 3 on weekend nights. Too much.

Good news is, if not too far gone, the liver can regenerate. Stop drinking and change up your diet and you'll likely reverse it and be just fine

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Op, how much were you drinking previously? Your weight seems good to me.

two every night and 3 on weekend nights. Too much.

Good news is, if not too far gone, the liver can regenerate. Stop drinking and change up your diet and you'll likely reverse it and be just fine

And NO tylenol!

[Anonymous]

I never take Tylenol.
I hope it can rejuvenate. I wonder how long it will take.

[Anonymous]

Anonymous wrote:I never take Tylenol.
I hope it can rejuvenate. I wonder how long it will take.

If you completely abstain from alcohol, some reversal starts in just 2 weeks.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I never take Tylenol.
I hope it can rejuvenate. I wonder how long it will take.

If you completely abstain from alcohol, some reversal starts in just 2 weeks.

ok, I quit July 5th so maybe I will see some good results Oct 1

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I never take Tylenol.
I hope it can rejuvenate. I wonder how long it will take.

If you completely abstain from alcohol, some reversal starts in just 2 weeks.

ok, I quit July 5th so maybe I will see some good results Oct 1

Congrats on quitting! The odds are in your favor if you keep it up that the results will be improved.