r/FattyLiverNAFLD

It was so simple!! Who knew? Rezdiffra.

So... I'm a week sober (Not very long I know, but I'm gettin there), I've uprooted my entire eating habits so everything I eat and drink is liver positive, which has been hell for the most part as 90% of the food I ate will kill me now, fun.

I'm wondering if, when I go to the cinema... Would it anger my liver or my doctor if i grabbed a box of popcorn and a bag of candy? I'm happy to just drink a couple bottles of spring water but I get peckish when i'm watching films and a bag of nuts and berries just won't hit the spot.

I have an enlarged spleen because of a fatty liver does it mean if I get my fatty liver under control my spleen will shrink?

TL;DR:

26M with Grade III non-alcoholic fatty liver, overweight but already down 5–6 kg since diagnosis. I have completely stopped added sugar, sugary drinks, and processed foods, and I'm trying to figure out whether I should also avoid fruits because of fructose. Looking for advice on diet, exercise, and reversing fatty liver while managing asthma and an irregular sleep schedule.

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I recently learned that fructose is considered a major contributor to fatty liver disease. Since my diagnosis, I've already eliminated sugary foods, added sugar, processed foods, and now drink tea and coffee without sugar.

However, I keep seeing videos and reels telling people with fatty liver to avoid even natural sources of fructose such as bananas, mangoes, pineapple, papaya, and other fruits. Some even suggest avoiding a single banana or a few slices of fruit because of their fructose content.

This has left me confused:

- What fruits are actually safe to eat with a fatty liver?

- Should I avoid fruits altogether, or is moderation enough?

- Is completely giving up carbohydrates healthy or sustainable?

Currently, my diet looks something like this:

- Breakfast: Eggs, nuts, salad, and vegetables.

- Lunch: My only carbohydrate meal of the day. Roughly one-quarter of the plate consists of carbs, with the rest being vegetables and protein.

- Dinner: Salad with chicken and chickpeas.

- I also drink black coffee and green tea regularly.

For exercise, I do at least 40–50 minutes of brisk walking every day, and I'm considering joining a gym soon.

I am still somewhat overweight and carry most of my excess fat around the abdomen, so body composition and belly fat are major concerns for me.

Current Stats

- Age: 26

- Weight: 79 kg

- Height: 5 ft 10.5 in

- Diagnosis: Grade III Non-Alcoholic Fatty Liver Disease

- FibroScan CAP Score: 309 dB/m

- Other issues: Elevated cholesterol but not diabetic

Medications

- Rosuvastatin Calcium 10 mg

- Resmetirom 80 mg

Since my diagnosis, I have already lost around 5–6 kg, as I was previously above 85 kg. I haven't repeated my tests yet to see whether there has been any improvement.

One additional challenge is that I have severe asthma, which makes prolonged walking, running, or high-intensity cardio difficult.

My sleep schedule is also far from ideal because I work freelance for clients in different time zones and often have to stay awake until 2–3 AM. Despite this, I try to maintain a long fasting window between dinner and breakfast, usually around 14 hours.

Given my situation, what advice would you give regarding:

- Diet and nutrition

- Fruit consumption and fructose

- Carbohydrate intake

- Exercise options for someone with asthma

- Weight loss and body recomposition

- Reversing Grade III fatty liver

I'd especially appreciate hearing from people who successfully improved or reversed their fatty liver condition.

My doctor mentioned mild fatty liver last year and basically told me to lose some weight, walk more and stop treating takeout like a food group. I didn’t do anything insane, just less drinking, fewer late night meals, more boring home food and not to forget walking after dinner most nights.

I’m due to recheck labs soon and I’m curious what people here actually pay attention to. Is it mostly ALT/AST on the CMP, or do you also watch A1C, triglycerides, HDL, weight, waist size, etc?

Not asking anyone to read my labs, I just want to understand what markers people actually follow over time instead of obsessing over one number.

I had a FibroScan that showed CAP 313 and liver stiffness 6.4 kPa. My gastroenterologist diagnosed me with MASLD/MASH and advised me to lose 10% of my body weight over the next 3 months, follow a low-fat, high-protein diet, avoid red meat, and drink 2–3 cups of black coffee or green tea daily.
My blood work:
ALT: 40 U/L
AST: 30 U/L
Bilirubin: 0.8 mg/dL
ALP: 72 U/L
CBC was mostly normal.
For context, my lifestyle has been terrible for years—lots of beer, seed oils, spicy/junk food, and very little exercise. I’m finally taking this seriously and have started changing my diet and working on losing weight.
How bad does this look? Is this something that can realistically be reversed with weight loss and lifestyle changes? Has anyone here gone from MASH back to a healthy liver? Any advice or success stories would really help.

I have T1D and since September, was on Ozempic for weight loss. I have been struggling with a severe flareup of IBS-D since a late November virus. Multiple tests - endoscopy, colonoscopy, stool samples, etc. and nothing was diagnosed definitively so I kind of gave up and didn’t follow up with my GI. My endocrinologist switched me to Mounjaro to help with the IBS and I am currently down about 50 pounds.

I had blood work done for my endocrinologist in March and had abnormally high liver enzymes so my endo referred me back to the GI. I saw a new CNP (Certified Nurse Practitioner) and she explained that my IBS-D, which I have had intermittently for years, was because I have no gall bladder (since 2001) and agreed with me, Dr. Google, and Reddit’s r/ibs, that I probably do have BAM (bile acid malabsorption). Add in my annoyance that my lack of gall bladder was never mentioned as the reason for my IBS-D, and I feel a bit overwhelmed.

The new CNP prescribed meds for the IBS but ordered a fibroscan of my liver at my appointment. Lo and behold, I have 67% fatty liver.

I had bloodwork yesterday and my liver enzymes are right back in normal range. I wonder how long this liver issue has been around because if it wasn’t for that anomaly back in March, I would probably never have had the fibroscan and this diagnosis.

I don’t drink alcohol and never take acetaminophen (interferes with my pump and insulin) so now I’m trying to readjust my diet (again, after months of FODmap) and wondering where I go from here.

At least I stopped shitting my pants so there’s that.

I got an ultrasound scan for upper right pain near my gallbladder that had been there for ages but was getting worse lately. The US also examined my liver area. I was told I have fatty liver disease but I am 5’4 and 120 lb. I am a farmer and work outside with plenty of exercise. I’m in good shape and eat healthy. Lots of veg and not much processed stuff. Also living in Vermont and also working at a farmstand I have access to amazing farm grown local healthy foods. I don’t drink much and quit drinking altogether for about 3 months earlier this year. What is going on? The comment on the scan said “will discuss diet and exercise” but both those things are literally as good as I can make them. I am basically working out all day most days. What is going on?

What should be the way forward? I don’t know why it happened in my case, does it need attention. What are the lifestyle modifications? Please help me understand this condition a bit.

Okay, I know it sounds stupid, but I'm at a loss and don't have a clue how to handle this. It was DEFINITELY NOT in "parenting 101", and I NEVER thought my kids eating all the healthy food in the house was EVER going to be a problem.

So I was just diagnosed with Non-Alcoholic Fatty Liver Disease yesterday by my doctor. (I've never drank alcohol in my life, hence the NA part of it. I also don't smoke or do drugs). I'm a 39 year old female, 5 foot 1 inch tall, who was misdiagnosed for 7 years with IBS, and it turns out it was endometriosis and adenomyosis, and a scalpel expert excision later, I'm free and clear of it. The problem is all the meds for "IBS" they made me take for 7 years unnecessarily due to the misdiagnosis made me pack on pounds and now I have a horrific time trying to get it off. I was 134 before these meds (6 months postpartum with my youngest child), and am now 213. I had my surgery in 2019 but haven't been able to drop the weight.

Because of my diagnosis, my doctor said I NEED to do everything I can (within reason- no crash diets that makes it worse) to lose weight. The NAFLD has given me extreme exercise intolerance, and because my liver is enlarged (normal is 12-15 cm, mine is 21) it pushes on my diaphragm and makes me winded very quickly, and the winded part causes severe calf cramps after only 5-10 minutes of steady walking to where I feel like they're being ripped off my legs. I am working on trying to find a way to exercise at home without a gym because the nearest gym is 20 miles away (I live rurally) and I can't afford the gym AND the gas to get there every day. My husband and I are brainstorming ideas there.

But the issue HERE is that I went to the store and bought a bunch of fresh produce after I left the doctor. All things I like. Apples, oranges, bananas, raspberries, strawberries, blueberries, broccoli florets, grape tomatoes, cucumbers, zucchini, carrots, snap peas, sweet peppers. I need to focus on protein, fruits, vegetables, hydration, low fat dairy, and some whole grains but taking it easy on those, in combination with exercise and starting fandayo, a weight loss medication.

That was yesterday evening. Today I went to get some of this produce for breakfast, to go with some lean ham steak, and the raspberries are already almost gone, along with almost a whole pound of strawberries. I know my kids, and they like produce too, especially berries.

I can't afford to buy the whole produce section. Our family of 4 with a 17 and 14 year old girl (make no mistake, teen girls CAN outeat teen boys, especially during "that time of the month"!) only has a budget of $600 a month for groceries, give or take, and that includes the protein I need to eat (and my doctor did not say just beans. He wants me to eat meat too so I don't lose muscle during this, and meat these days can be pricey, and yes I always shop for deals and have a chest freezer).

My kids are healthy. I love that they love produce, and I even bought extra cucumbers for my youngest who loves them. But I NEED TO EAT THE PRODUCE TOO, especially me with this new diagnosis.

So, while I cannot be mad at them for eating fruits and vegetables, how do we manage the fact that I can't buy $6/6 oz raspberry packs and $5/lb strawberries every other day? That, of all 4 of us, IT'S THE MOST IMPORTANT FOR ME TO EAT THE HEALTHIEST right now.

In other words, how do I balance out my kids eating healthy when they're eating the produce I DESPERATELY need to have priority on? Like I said, I can't be mad at them for making healthy food choices, but UNLIKE ME, they don't always have to eat super healthy, but I NEED to right now.

Any advice? (And we are working on planting a garden to help, but my fruit trees are years away from production). And fresh produce is expensive. Just what I got yesterday was half our biweekly food budget. One last aside- grocery prices are stupid expensive!!!

Edit- I should also mention that my gallbladder was removed 9 years ago because it was only functioning at 10%. So no gallbladder anymore, haven't had one for years.

I had been experiencing right upper quadrant pain for about two years but it would come and go. I had been on ozempic and stopped taking it bc I got pregnant and the pain went away so I attributed it to that. I went to my dr recently bc I was feeling anxious about my gall bladder health, I hadnt had any attacks but was seeing yellow looking stones in my stool and was recovering from a 2nd trimester pregnancy loss and I know gallstones can happen with pregnancy.

I had an ultrasound and it showed fatty liver. my liver enzymes were also mildly elevated (can’t remember which but one was in low 30s other was in low 40s). my cholesterol was slightly elevated as well but nothing crazy.

I don’t drink a ton, just socially. ive struggled with binge eating in the past so I’m not super surprised by this that I now know it can be caused by diet. I just had my follow up with my dr and they were pretty unhelpful, just told me to eat better and prescribed me ozempic again.

today I started to have some pain on my left side so I’m worried there may be more going on besides the fatty liver. I asked my dr if I could get additional imaging and they said it wasn’t needed. I feel like I should have at least gotten a fibroscan or mri. should I push my dr again? or see if I can be referred to a GI?

since I saw the ultrasound results I’ve done loads of research on here and have totally overhauled my diet and have been getting more exercise. I’ve lost weight and I know I need to continue to do so to try and reverse this. I feel like everyone is acting like this isn’t a big deal but I feel like it certainly is. ive had a lot of health anxiety since my pregnancy loss and I’m just worried about this and wondering if I should be doing more scans to see how severe it is. Thanks everyone!

I’m a 37yo female and I’ve always been in the overweight / class 1 obesity range. I was diagnosed with NAFLD back in 2017 after having an ultrasound. My liver enzymes have always been in the normal range. I just had a blood draw yesterday in advance of my annual physical and my AST is 36, ALT is 51, which is basically double what they were last year. All of my other lab results (alkaline phos, bili, creatine, protein, etc.) were normal. A1C and cholesterol are also normal.

I understand that my liver enzymes are only mildly elevated, but I’m freaking out a little and won’t hear from my doctor until next week. I’m not a heavy drinker and I don’t take Tylenol. I’m currently on wegovy and I’ve lost ~10lbs over the past few months, aiming to lose 35lbs to get into the “normal” BMI range.

The only change in medication I can think of since last year is that I’m on atomoxetine, but a low dose (40mg). I’m concerned that the enzyme elevation means my liver disease is progressing. I’m assuming that my doctor might want to do more tests and repeat labs in a few months.

Has anyone else experienced anything similar? Looking for insight on what to expect and what I can do to improve my liver health other than continue with weight loss.

I was diagnosed with NAFLD in early June, elastography two weeks ago showed 6.2kPa.

If I know how to do one thing, it’s to stick to a diet. I’ve been following a Mediterranean diet since the diagnosis with no added sugar and only healthy fats like avocado. I’ve been tracking my calories and I’m coming in at 1200-1300 a day. Lots of veggies and fruits, leafy greens, healthy proteins, yogurt, overnight oats, baked sweet potatoes, etc. (and I love coffee, so coffee with unsweetened macadamia milk).

When I started my weight loss journey last September I was 215lbs (I’m 5’8”, 44F). I lost about 20 lbs on Zepbound, had to get my gallbladder out due to cholestasis, and stop Zepbound. After that, it wasn’t covered by my insurance anymore. I had lost an additional 20 lbs through diet and exercise between November and June. Since I started this diet at the beginning of June, I’ve lost about 10 lbs, and I have lost 4.6 lbs since June 19th. I’m down to 162.6, for the first time in the “normal” BMI range since before the pandemic. But I’m worried I’m losing weight too quickly.

Any tips on how to supplement my diet or liver friendly snacks I can eat to up my calories a bit? Everything that seems convenient (ie protein bars like rx bars) appears to be harsh on my liver due to the sugar content.

Can anyone shed any details on the diagnosis process in England under the NHS? after various symptoms I was having lots of GP ordered tests - blood after blood, ultrasound and CT scan etc. The GP came to a result of fatty liver. They rang to tell me it’s confirmed fatty liver. And that’s it … she said it was referred to gastroenterology dept in December, rung outpatient recently and said I’m on a waiting list and have about 60 more weeks. Should I be trying to do anything in the mean time. No one’s said anything.and fear I’ll wait for the referral to eventually come back and say it’s minor and GP should be dealing with it? Does this process seem right?
Sorry I’m an over thinker … TIA 😊

So i recently wrote a post & well my CT report with contrast are back!!! So it says my liver size is 17.7 mm..2 months back it was 15.9mm... I have lost weight why the fick is it increasing?? I just saw on google that iron intake can also increase fatty liver size.. I don't take any kind of supplements, maybe be overall iron from whole foods is too much? Also can this be reduced..has a anyone done it?? 😭😭.. also i got hernia ...so there's that.. I'll get the doc. Appointment in 3 days.. they have yet to refer me to a hepatomegaist..even when i have asked ...the medice one does not recommended me. All other stuff is normal in me.. no fibrosis btw. Plz leave comments 🙏 i am not sure what to feel..🙏🙏🥀

Wow it's been a month(?) or more since I posted last.

I have stage 3 steatosis of the liver and no fibrosis. Need to focus on diet and addition of medication and weight loss.

I also had a HIDA scan. That found biliary dyskinesia with an ejection fraction of 29.73% which is low. There were no blockages or stones. So the gallbladder also doesn't work right. Cool.

I then had a gastric emptying study done. That found that 84% of my meal was emptied after ONE HOUR, and 99% by hour 3. So I have abnormally rapid gastric emptying as well.

We also found via CT scan my spleen is enlarged. I've been a diabetic for over a decade. After seeing my new endocrinologist and doing labs they also found my A1C was 7.6% (😭) and that I have high cholesterol too.

On top of all of this the allergist found I have mild asthma and more food allergies. Still waiting for a skin test for more foods to confirm if anyore are being added or subtracted. I am also seeing a PT to help my heel and ankle spurs for like a month or so before they determine if I need surgery to resolve. This has limited my walking and ability to workout safely.

I am still continuing to lose weight, since I posted last I'm down another 12+ pounds.

My diet has really shrunk again. Chicken (breast or ground), green beans cooked to pulp (the more cooked, the easier on my stomach), rice or rice noodles with coconut aminos (to replace soy which I'm allergic to), other cooked veggies, some fruit, mostly berries or sometimes halos/oranges and red grapes. I have very little oil and fat at each meal, enough so the gallbladder doesn't freeze. The only added sugar I've really had has been maple syrup or stevia in the raw.

I also started eating smaller meals and waiting for beverages 45+ minutes after or before meals.

I'm so sick of doctor appointments and going to be the hospital which is super far and inconvenient (lack of public transportation). Between the summer heat affecting my POTS and the food issues, I'm just at a loss still. No one seems to have full answers. It's a lot of finger pointing, go see this Dr, or oh idk go talk to that dr. It's annoying. Most of my doctors are in the same system but my endocrinologist and allergist are not (😭) so I'm playing the telephone game with those people.

I am overly stressed. Does anyone else who has this stage of fatty liver also have these other issues (or some)? I need advice on what else to do.

Followed up with gastrointestinal NP this week, diagnosed with mild fatty liver. Nothing else ! I left the visit confused. I asked questions that she really didn’t answer. Only that I need to follow Mediterranean diet and follow up in 6 months. I had the ultrasound gastrograhy ( I think that’s what it was?). She did send a referral to dietitian. I don’t know where to start. Any guidance ?

Hi! I was diagnosed with fatty liver a few years ago via a CT and a follow up ultrasound, which determined I have NAFLD with areas of focal sparing. This week I went in for an ultrasound at a new place that didn’t look at my history at all and flagged it as “suspicious for metastatic disease.” They were fully unaware that I have fatty liver confirmed and I have zero symptoms.
All of my labs have been improving and my white blood cell count is great. I’m scheduled for an MRI for a couple of weeks, but very anxious about it. Anyone have this happen and end up okay?

Hi! I got diagnosed a year ago and it was SO SCARY like horrifying and I bet some of you guys are, I wanna tell you it gets easier it's for sure hard the first few months but then after that your diet, exercise just becomes your new normal and you actually feel 10x better... more energy, less Brain fog... all of it... I guess what I'm trying to say is you'll be okay especially if you don't have S4 fibrosis.. I know it's scary but you will get through it. I've lost 60 lbs since then and I'm honestly happier then better like my doctor said "fatty liver in its early stages isn't a death sentence it's a warning light for your whole system.." take that warning seriously.. better food for your body, more water and more movement YOU GUYS GOT THIS

Was diagnosed with fatty liver in February. Since then I've made drastic dietary changes. My ALT is 46 and AST is 26. My cholesterol is now under control. Finally saw the Hepatologist yesterday (yes it took that long to get an appointment). He says I'm doing everything right diet wise although i still like to pig out every now and then. I excercise 5 days/week. He ordered a Fibroscan but the earliest they can get me in is August 31st. He told me not to drink until then which I'm not taking well. I'm not a big drinker, like 4 a week.