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TOPIC: Good diet for Fatty Liver Disease?

 
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September 28, 2013 1:10 PM
I was diagnosed yesterday with fatty liver disease, and have been wondering what a good diet would be to undertake for liver health. I haven't yet sat down with my doctor about it, but per the triage nurse who called to tell me the result of the ultrasound, he wants me to take Omega 3 supplements. I'm to go in next month to begin a series of hepatitis vaccinations.

I'm already losing weight (30+ pounds this year so far) and drastically reduced alcohol intake.

I've read all sorts of studies, some showing PUFAs to be detrimental, some showing SFAs to be beneficial.

All I've read about choline seems to underscore it as important for liver health, and all highlight the negative effects of too much sugar. Cutting carbs seems to be recommended.

I don't know what I should be eating, exactly. Do any of you have knowledge on this topic?
  34729852
September 28, 2013 2:17 PM
Please talk to your doctor about this. Internet advice is useful (if it's accurate), but your doctor may modify their recommendations based on your specific medical history. If your doctor is too busy to discuss dietary specifics and give you a meal plan, ask for a referral to a registered dietitian.

Yes, generally speaking, it helps to reduce carbs / sugar, increase omega-3, exercise often, and drink little to no alcohol. If you have trouble with that last one, look into SMART Recovery, which is sort of a secular 12 Step program.

Have you had your thyroid function tested recently?
Edited by Cherimoose On September 28, 2013 2:21 PM
September 28, 2013 4:27 PM
I am in the same boat as you . I was told to reduce fatty foods , of course no alcohol (I don't drink anyway). and to lose weight, reduce cholesterol, exercise regularly.
Take care , hope all goes well.
  2925739
September 29, 2013 11:10 AM
Oh I'll absolutely be talking to my doctor about it in the next few weeks when I go back, but I'm still interested in hearing what others have experienced with fatty liver disease.

The ultrasound was just done Wednesday, and they called me Friday with the results, so they only gave me some preliminary advice over the phone until I can come back to the office to discuss what's next. Omega 3s and lose weight was all they really said to do for now, and I've already been losing weight, of course. They didn't even mention alcohol, which surprised me. Alcohol did used to be a problem for me, and without a doubt contributed to this. It's been rare for me to have more than 1 or 2 beers anymore, though, so it won't be much of a problem to cut that out.

From what I've been reading, when carbohydrates are present, the liver pretty much stops processing fat. And then excess carbs also get converted and stored as fat, which is why it may be better to eat more fat for calories rather than carbohydrates. I'm not sure I completely understand it, though. Seems like that would be a cholesterol risk.
Edited by Mistyfied_MD On September 29, 2013 11:11 AM
  34729852
November 21, 2013 8:57 AM
I was just diagnosed with the same thing this past Monday. My doctor said Low Fat, Low Sugar, High Protein, High Fiber. A lot of fruits have a high sugar content so she told me to stay away from banans, grapes, melons, etc. She said blueberries, cherries, apples are good. I also purchased a book by Dr Susan Cabot that you can find on Amazon... it should be in my mailbox today! :)
I have a multitude of issues, high blood pressure, high cholesterol, very high triglycerides, GERD, and now fatty liver disease. I only drink socially so that part is not a huge deal for me to cut out. (although I will miss it at my work Christmas party!)
I know this was posted a couple of months ago but since I just found out I had it I searched the subject. If you have any tips, suggestions to share now that it's been a couple of months, I would appreciate it.
November 21, 2013 9:27 AM
The faster you lose weight, the better and more immediate impact it has on your liver as your liver will more likely pull fats off itself for energy than other sources farther way from the liver such as the stomach. The quickest way to do this is to eat chicken salads with no dressing. You can do this two days in a row before your body starts using muscle and fat as energy. Basically, every third day reintroduce some carbs to get closer to 2000 calories, to prevent your body from dipping into muscle as energy.
November 21, 2013 9:35 AM
A low carb, high fat, whole foods based diet is great for PCOS and fatty liver disease. Exercise is going to help too though so make sure you're getting 20 - 30 minutes of walking in a day if you're not already exercising.

LCHF for Beginners
http://www.dietdoctor.com/lchf
November 21, 2013 9:36 AM
QUOTE:

Oh I'll absolutely be talking to my doctor about it in the next few weeks when I go back, but I'm still interested in hearing what others have experienced with fatty liver disease.

The ultrasound was just done Wednesday, and they called me Friday with the results, so they only gave me some preliminary advice over the phone until I can come back to the office to discuss what's next. Omega 3s and lose weight was all they really said to do for now, and I've already been losing weight, of course. They didn't even mention alcohol, which surprised me. Alcohol did used to be a problem for me, and without a doubt contributed to this. It's been rare for me to have more than 1 or 2 beers anymore, though, so it won't be much of a problem to cut that out.

From what I've been reading, when carbohydrates are present, the liver pretty much stops processing fat. And then excess carbs also get converted and stored as fat, which is why it may be better to eat more fat for calories rather than carbohydrates. I'm not sure I completely understand it, though. Seems like that would be a cholesterol risk.



You are getting too detailed and misleading yourself with partial information, as that information refers to normal healthy people. Lowering the amount of calories you eat should be the primary goal. Next is lowering the amount of fat you eat because you have a disease. Having a disease increases your chances that your liver will not process fats correctly and lead to abnormally high cholesterol levels. Only way to know is to do a lipid panel test at your doctor's office but why waste your time on a diet that you have no idea how your body will react? Just keep it simple and stick to the standard medical advice, low fat diet.


.
Edited by AbsoluteNG On November 21, 2013 9:37 AM
November 21, 2013 10:08 AM
The main thing is to lose weight. If you lose fat you can see, you will also lose fat internally. Listen to your doctor's advice when you talk to him.

A poster above mention Dr. Susan Cabot. She has a website. http://www.liverdoctor.com/
November 21, 2013 10:14 AM
My information is based on what my doctor told me... I would suggest that anyone else seek advice from THEIR doctor as you might have other issues that make your situation different. For example I have high blood pressure, high cholesterol, GERD, and I am pre-diabetic... however I am not morbidly obese... I am overweight and need to lose weight. If you specifically look up non-alcoholic fatty liver disease, it states that losing weight rapidly also causes the disease to worsen, which is what my doctor said as well. Yes I need to lose weight but at the normal 1 - 2 lbs a week. She also told me that eating low fat, low sugar, high fiber and high protein will help each of my other conditions as well... as losing weight is the biggest part of it. I see my doctor regularly and she knows my health issues.... so your doctor will know better what is best for you. I am just relaying what my doctor told me is best for me... and most everything I have read on mayo clinic, etc. seems to fall in place with that. Best of luck to everyone... lose weight and exercise... does a body good! LOL!! (I have lost and gained 50 lbs twice in my adult life... the key is maintenance!!! 3rd time is the charm!)
November 21, 2013 11:17 AM
ShylasMum, your doctor recommended you on a low carb and low fat diet which is essentially losing weight fast or what I recommended earlier, eating mostly chicken salad. How fast is too fast? Did your doctor get into specifics? It's a subjective term and the diet you are on is a pretty fast weight loss plan.


Also, you have many things wrong with your metabolism, not just a fatty liver. You have a combination of problems which is why your doctor recommends a slow pace for you. Your doctor is under the assumption that losing weight fast for you could cause your diabetic condition to get worse and it's a good assumption because you have so many things wrong with your body but at the same time losing weight is the key factor into getting better. Now, how fast is too fast for you?? Only way to know is to run glucose test daily and a lipid blood panel test. I'm not saying what your doctor suggested to you is wrong, I am saying is that your condition is not as bad as the OP who only has a Fatty Liver and losing weight fast for him is fine.


.


.
Edited by AbsoluteNG On November 21, 2013 11:19 AM
November 21, 2013 1:55 PM
This line is taken from the Mayo Clinic website:

However, any weight loss should be gradual — no more than a few pounds a week — because losing weight too quickly can actually worsen fatty liver disease.


Below is a link to the page (you may have to copy and paste to your browser)... I have also seen this mentioned on many other websites regarding fatty liver disease. But as I mentioned I think anyone should speak to their own doctor and get recommendations on their personal make-up and condition. We all do know that losing weight and eating healthy is the only treatment... I was just sugesting that no-one "crash diet" or lose weight rapidly as was told to me by my doctor and through my own research. I lose 1 1/2 - 2 lbs a week the way I am eating... which is also what most professionals as well as fitness pal suggests

http://www.mayoclinic.org/medical-edge-newspaper-2012/dec-14a.html
November 21, 2013 2:27 PM
QUOTE:

I was diagnosed yesterday with fatty liver disease, and have been wondering what a good diet would be to undertake for liver health. I haven't yet sat down with my doctor about it, but per the triage nurse who called to tell me the result of the ultrasound, he wants me to take Omega 3 supplements. I'm to go in next month to begin a series of hepatitis vaccinations.

I'm already losing weight (30+ pounds this year so far) and drastically reduced alcohol intake.

I've read all sorts of studies, some showing PUFAs to be detrimental, some showing SFAs to be beneficial.

All I've read about choline seems to underscore it as important for liver health, and all highlight the negative effects of too much sugar. Cutting carbs seems to be recommended.

I don't know what I should be eating, exactly. Do any of you have knowledge on this topic?

Unless your dr specialises in this area, I would recommend seeing an experienced clinical dietitian.

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