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Note From the Author

If you have been diagnosed with fatty liver disease, you might be feeling afraid and somewhat bewildered at the thought of it.  

I know I sure was whenever my doctor gave me the news.  I wanted to understand all aspects of the condition so that I could begin to get my health back on track.

Of all the reading and research I did, I never came across a resource that answered all of my questions in one place.

This is what I have attempted to do with this website -- to provide you with a comprehensive explanation of what fatty liver disease is, what causes it and what the available treatments are.

It is my sincerest hope that this information is able to help you come to terms with and take control of this disease. Remember, it is never too late to begin living a healthy lifestyle.

In Good Health,
Greg Daniels

Watch this video for a better understanding of how the liver functions within your body:

What is Fatty Liver Disease?

Does your doctor say you have or may have Fatty Liver Disease?  When someone is diagnosed with Fatty Liver Disease, or hepatic steatosis, they may often wonder how it happened – why exactly did their liver get fat and what does this mean for their quality of life?

First, you should know that this an increasingly common health problem, and you don’t have to drink a lot of alcohol to get it – in fact, the majority of cases have nothing to do with drinking.

More and more people are developing this condition every year as a result of their lifestyle habits. Surprisingly, an estimated 20% of people living in the United States have some form of fatty liver – and most of them don’t even know it.

Many doctors refer to Fatty Liver Disease as: “The fat you can’t see.”  But, what exactly is Fatty Liver Disease?

fatty liver vs healthy liver

Put simply, it is a condition characterized by an abundance of fat in the liver.  Livers with a higher percentage of fatty build-up are more prone to serious health problems as a result.

Having too much fat in the liver is called steatosis, which by itself, isn't a huge cause for concern as it is generally a benign condition. However, if the steatosis worsens over time, the liver can enlarge and start to develop scarring.  This can lead to cirrhosis of the liver which is very serious indeed – causing all sorts of problems, up to and including death at its most violent stages.

Complications usually arise when fat comprises more than over 5% of a person's total liver weight. As the fat cells develop, they push the liver cells further away from each other, placing strain on the organ.

Being diagnosed with a fatty liver is often an indication of future health problems to come if it is not dealt with right away, so it is important to monitor your liver health closely.    

After all, your liver is critical for detoxifying your body, aiding in digestion, converting food into energy, breaking down fat and many other vital processes that your body depends on to maintain a state of optimal health and well being.  It must be lean and healthy to perform these tasks well -- meaning you MUST take proper care of it.

Recommended Reading:

Fatty Liver Disease (hepatic steatosis)

Also called: Alcoholic Fatty Liver Disease, AFLD, Alcoholic Steatohepatitis, Nonalcoholic Fatty Liver Disease, NAFLD, Nonalcoholic Steatohepatitis, NASH

Fatty Liver Disease is generally separated into two categories – alcoholic and nonalcoholic.  Theses terms are often used to describe a range of conditions and have various levels of intensity (i.e., stage 1, stage 2 etc..).  Let's take a closer look at some of them now.

1. Nonalcoholic Fatty Liver Disease (NAFLD)

Fatty deposits of the liver not caused by alcohol. Patients are usually (but not always) overweight and sedentary, have a poor diet, high cholesterol, or have diabetes. Rapid weight loss can also cause it. The disease can progress to cirrhosis just like AFLD, if left untreated. Note that individuals with healthy lifestyles can also get NAFLD for unknown reasons, but this is more rare.

2. Alcoholic Fatty Liver Disease (AFLD)

Damage to the liver caused by excessive drinking, usually (but not always) over many years. It’s the first development of liver disease that can turn into cirrhosis and eventually to liver failure.

3. Nonalcoholic Steatohepatitis (NASH)

While having a fatty liver may not cause lasting harm, NASH occurs when the liver progresses from having too much fat to actually being inflamed. This is much more serious and can lead to complications if not treated.  

4. Alcoholic Steatohepatitis

Chronic and progressive liver disease caused by an over-consumption of alcohol.  If left untreated, it will progress to cirrhosis, liver cancer, liver failure or liver related death.  Patients are urged to stop drinking immediately.

Diseases Associated with a Fatty Liver

Contracting a fatty liver can put you one step closer to more serious illnesses if the proper care is not taken.  Possible health conditions that Fatty Liver Disease might lead to can include:

  • Cirrhosis
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  • times-circle
  • times-circle
    Liver Cancer
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    Liver Failure
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What Causes Fatty Liver Disease?

There are various factors that contribute to a decline in liver health and some of them may be out of your hands. However, more often than not, the disease is primarily self-induced by poor health choices concerning diet and exercise.  Eating a nutrient deficient diet or drinking copious amounts of alcohol over an extended period of time are common culprits.

While there isn't a concrete answer as to why the liver gets fat specifically, the current theory points towards complications arising from insulin resistance (a precursor to diabetes).  This can cause a cascade effect of excess glucose and fatty acids entering into the bloodstream. These fatty acids then begin to accumulate in the liver. As more and more fat accumulates, the liver enlarges, and permanent scaring can result.

General causes of Fatty Liver Disease include obesity, alcoholism, type 2 diabetes, hypertension, genetic inheritance, celiac disease, sudden weight loss, various metabolism disorders, Weber-Christian disease, hepatitis C, Wilson's disease, dyslipidemia and side effects to prescription medications such as tamoxifen and corticosteroids.


Early Warning Signs of Fatty Liver Disease

Your liver is unable to feel pain, so spotting warning signs can be difficult. Although many people who suffer from Fatty Liver Disease do experience abdominal pain or discomfort, this is caused by the inflammation of the liver and not by actual pain in the liver. It may also be attributed at least in part to poor digestion, since having a fatty liver that cannot digest food properly can certainly lead to indigestion and abdominal symptoms.

That being said, there are some early warning signs of Fatty Liver Disease that include: nausea, chronic fatigue, diarrhea and a feeling of uncomfortable fullness in the upper abdomen.

As you can see, these symptoms could be hard to differentiate from many things, so if you suspect that you're having any warning signs and symptoms of Fatty Liver Disease, you should consult a medical professional and begin making the lifestyle changes necessary to stop the damage in it's tracks.

Common Symptoms of a Fatty Liver

Many people who have the nonalcoholic form of the disease never suffer any ill effects, while others do.  The fact is there are rarely physical symptoms of fatty liver until it is quite advanced. This is a disease that is insidious and people who have it are often unaware of the problem until serious symptoms occur, if ever.  This makes it a “silent” disease.  

This is why it is so important to take good care of your body and always monitor your health.  Don't skip your yearly check-up and report any abnormalities to your physician.  Any manifestation of the following symptoms and you should not waste any time getting to a doctor.  This is particularly true of pain in your upper right side, which is where your liver and gallbladder are both located.

General symptoms of Fatty Liver Disease include: fatigue, increased bruising, fluid buildup in the stomach and legs, unexplained weight loss, tarry stools, jaundice or yellowing of the skin and eyes, mental confusion, dark patches on the skin and pain in the upper right quadrant.


Medical Testing to Diagnose Fatty Liver Disease

Since there aren’t normally any symptoms for this health problem, you should simply go to the doctor if you are experiencing unexplained weight loss, unusual fatigue or pain in your upper right quadrant.

Needless to say, if you are showing any yellowing of the whites of your eyes or skin—which is jaundice—you should see a doctor immediately as this can be a sign of serious liver failure.

There are several diagnostic tests that may be performed to identify this condition. Your doctor might want you to have one or all of them, depending on the findings. Sometimes one test will show something that another test didn’t.  For example, a liver biopsy furnishes an actual piece of the liver for examination.

Here are the current tests being done to diagnose this disease:

  • Blood Work – Blood tests will show if there are elevations in liver enzymes, which can include alanine aminotransferase, or ALT, and aspartate aminotransferase, or AST.
  • Imaging Tests – This can be an MRI, or Magnetic Resonance Imaging, or a CT scan, which is computerized tomography. Sometimes, the doctor will want an ultrasound of the liver, also.
  • Liver Biopsy  This one is the only test that can definitely and conclusively diagnose the disease. A long needle is inserted through the abdominal wall into your liver and a little piece of liver tissue is removed and then examined under a microscope.
  • If in doubt about whether or not you have fatty liver disease, it is best to go ahead and consult a doctor about it, just to be on the safe side.  Unfortunately, some folks wait too long to get diagnosed.

Depending on your doctor and your resources – whether or not you have insurance, for instance – you might opt for skipping the first two diagnostic tests and going straight for the liver biopsy.  This test gets right to the heart of the matter with a definite diagnosis right away.

If you are diagnosed with it, there are homeopathic treatments that have proven effective in many people at treating, and even reversing, the course of the disease. You can also try a special and effective liver cleansing diet that will improve the disease if followed properly – more on this below.

Can Fatty Liver Disease be Reversed?

By this point you're probably wondering if fatty liver can be reversed?" Well, let's talk about that.  The answer to this question depends on the amount of damage your liver has sustained thus far.  Advanced stages of liver disease may not be reversible unfortunately.

If caught early, a fatty liver can be made lean again through vigorous diet and exercise, among other treatments (discussed below).  The healing process of the liver must be an active one though.  You can not simply take a pill to magically cure your liver.

It is hard work to reverse fatty liver disease and will require your full attention.  The first step is to commit yourself to eating a healthy, liver-friendly diet along with plenty of fresh water.  Avoid alcohol, high-glycemic carbohydrates and foods with added sugar.  Lastly, if you are overweight, immediately start working on slimming down in a slow and controlled manner.

Recommended Reading:

Treating a Fatty Liver


Treatments vary depending on the severity of the condition.  Cirrhosis, liver cancer, and liver failure are serious medical conditions that can be life threatening. Treatment options can be more limited for these advanced stages.

This is why it’s important to spot the symptoms of liver disease early, in the inflammation and fibrosis stages. If you are treated successfully at these stages, your liver may have a chance to heal itself and recover fully.  

Fortunately, there are medical and homeopathic treatments that can slow, halt, reverse and even eliminate fatty liver disease depending on how advanced it is.

Currently, treatment strategies for NAFLD consist of:  

  • Identifying and treating associated conditions such as diabetes and/or hyperlipidemia
  • Improving insulin resistance either by means of weight loss, exercise or medications
  • Using antioxidants to protect further damage to the liver

In recent years, there has been much progress in a holistic approach to treating fatty liver disease with such things as a liver cleanse, detox or flush.

Homeopathic Treatments

While diet and healthy lifestyle changes are currently the best way to reverse NALFD (see below), your liver can also benefit from homeopathic treatments, such as this detox spray.

Milk thistle extract (silybin) and Chelidonium majus are some traditional herbs used to help the liver. Scientific studies of these herbs show promising results in helping the liver.

detoxing your liver with lemon water

This is an attractive prospect to a lot of people who don’t like the modern tendency of the medical profession to try and treat everything with often toxic drugs that could possibly do more harm than good.

If you stop and really pay attention to the long list of potential side effects for many prescriptions medicines, it’s a classic case of throwing out the baby with the bath water. You may get rid of some symptoms of your original complaint, only to get whammied with more that are far worse than what you had to begin with.  

If you choose homeopathic supplements, note that this will help your liver, but not reverse fatty liver disease. For that, you need to change your life around with diet and exercise, as I detail below.

Detoxing the Liver

The liver is the second largest organ in your body and it is also the most overworked. Every toxin that you come into contact with must be filtered through the liver. When it gets overworked, toxic compounds start building up and they begin to find their way into the organs, skin, fatty tissues and blood – this is what triggers inflammation.

Even if you follow a healthy diet most of the time, it may not be enough to rid your liver of toxin buildup.
A 'liver detox' or liver cleansing diet takes it a step further by helping eliminate the toxins stored in the liver, hopefully allowing your liver to reboot and rejuvenate. 

A liver cleanse involves eating foods and drinking beverages that are healing to the liver.  In some instances, it can mean fasting or abstaining from solid foods for a set period of time.  Some common practices include drinking warm lemon water or fresh pressed juices, massaging the liver with castor oil and taking some sort of supplemental flushing agent, among other things.  Read this article to assess if a detox is right for you.

Liver Cleansing Products Available on Amazon:

Optimal Diet for Fatty Liver Patients

There are certain dietary guidelines that will serve you well if you have been diagnosed with a fatty or damaged liver. Based on research conducted by the American Liver Foundation, eating a healthy diet is conducive to overall liver health.

The old saying “you are what you eat” aptly applies to the health of your liver.  Eating a high-fat and nutritionally deficient diet can land you with Nonalcoholic Fatty Liver Disease (NAFLD) if you're not careful, which has a host of unpleasant symptoms you would probably prefer to avoid.

All the while, eating a healthy and well-balanced diet can allow your body to perform at it's optimal level.  In fact, a properly configured diet plant is believed to be the best preventative measure there is for liver disease, and possibly even for regeneration.


"I can attest to the importance of nutrition for liver health -- I believe that eating healthy, all-natural foods was the primary cause for my accelerated liver recovery."

- Greg Daniels, fattyliverdietguide.org

Here are some suggestions about your diet that can help slow or even halt the progression of the disease that might take place otherwise:

  • Eat small, frequent meals – For all practical purposes, you should eat three regular meals and two healthy snacks during the course of a day. If you are diabetic, you may also need a bedtime snack so that your glucose level doesn’t drop too low during the night.
  • Stay well hydrated – Drink at least 8 -10 cups of water or other similar nonalcoholic beverages during the day. Keeping your body hydrated is crucial for adequate functionality of the liver and supporting organs. (more info below)
  • Eat your vegetables – While you don’t have to adhere to it every day, some homeopathic experts believe that a vegetarian diet at least 2-3 days a week is helpful. If you are overweight, this practice will also help you lose weight,  a benefit to your liver in and of itself.
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    Avoid fatty, fried foods and dairy products high in fat  Your liver must work harder to produce enough bile to digest fats, which causes added strain on it.

For overall health, you should be eating adequate portions of foods from all of the recommended food groups, including dairy, meat, fats, grains, fruits, vegetables and protein.  

If you have a fatty liver, then you should consider giving up red meat since it can be more difficult to process.  Instead, try eating foods that are high in fiber, such as vegetables, fresh fruits, whole grain breads, rice, cereals and dried beans as well as a diet of common cleansing foods such as the ones listed below.

Foods that are good for Fatty Liver Diet

  • Garlic
  • Carrots
  • Beets
  • Avocado
  • Grapefruit
  • Olive Oil
  • Apples
  • Leafy Greens
  • Fish
  • Nuts
  • Coffee
  • Green Tea
  • Tumeric
  • Cabbage

Foods that are bad for Fatty Liver Diet

  • High-Sodium Foods
  • Sugary Foods
  • Alcohol
  • Fried or Greasy Food
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    White Rice
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  • Fast Food
  • White Bread
  • Corn Syrup
  • Red Meat
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    Soft Drinks
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    High-Iron Foods

Let's Talk Water

An important aspect of any fatty liver diet is adequate water intake.  It can not be overstated enough, just how important it is to drink plenty of water day in and day out, not only for the health of your liver but for your entire body.  In today's society, we've gotten so used to flavors (especially sugary) in our drinks that water seems bland by comparison.

But this is a big problem for your liver, which wants to push toxins out, not deal with more coming in (in the way of refined sugars, color additives and the like). And those extra calories aren't helping your waistline, either.


Water makes up 60-70% of the human body and over 90% of the liver, so it's extremely important that you stay hydrated at all times.  Like your other organs, the liver requires water to function optimally, and if you have NAFLD, your compromised liver needs all the help it can get.  

At your optimal water intake level, your liver will better be able to flush excess toxins from your body in order to repair itself.  So how much do you need?

Experts agree that the old mantra of “eight 8-oz. glasses” a day isn't true for everyone. That may be too much for you – or it may be too little. How to tell? Look at your urine (yes, really).  The darker your urine is, the more dehydrated you are. The urine of a person who's getting an adequate water intake looks very pale yellow or even clear. If it's amber or dark yellow, drink up – you're not getting enough.

AVOID beverages that contain added sugar, chemicals and, unless your doctor says otherwise, excess sodium. Sodium is actually dehydrating (although we all need a certain amount of sodium in our diet – again, check with your doctor). Sugar can worsen your fatty liver problem by spiking your insulin and storing in your fat cells. Read your labels carefully so you know what you're putting into your body.

Treat Your Liver Right -- It's Your Only One!

Did you know that your hard working liver is one of the most important organs in your entire body and has a big job to do in trying to keep you healthy? It’s true!  

Your liver weighs approximately three pounds, is roughly about the size of a football and lies just below the rib cage on your right side. 

healthy liver large organ

Its large size (it’s the largest organ after skin) is in direct proportion to its role in such things as digestion, filtering harmful toxins from your body, absorbing nutrients and other critical functions necessary to your health and overall well being.

If your liver isn’t healthy, you are going to experience health problems. It isn’t a question of IF – it’s a question of when and what kind of problems. No ifs, ands or buts about it. If your liver isn’t in good health, you won’t be either. It’s just that simple.

As we've discussed, there are certain lifestyle practices and habits that are almost guaranteed to damage the health and efficiency of your liver, predisposing you to disease and illness. If you want to live a long and gloriously healthy life, keeping your liver up to par should be a top priority.

The best known fatty liver treatment is to observe the right diet and make certain lifestyle changes such as abstaining from alcohol and exercising regularly. You can be proactive about your own care by following the aforementioned recommendations. Take your treatment seriously and you can still live a long and healthy life.

Key Takeaways

We have covered a lot of information in this article thus far... let's recap what we've learned.

Fatty Liver Disease is very common. Millions of people around the world have it, so you are not alone. Since it is such a prevalent health condition, there has been a ton of research and study about the problem, along with various treatments.

functions of the liver

If you have this condition, you need to become knowledgeable about what it is and how you came to get it in the first place. Then you can begin the process of treatment.  

Knowledge is power and the more you understand about the cause and effects of Fatty Liver Disease, along with ways to reverse it, the higher chance there is for restoring your liver to a state of good health.


In a lot of cases, this disease is basically benign, meaning that it never causes any serious harm to your health. However, it can progress or bring on other problems that can be very serious indeed….even life threatening.  

For this reason, it isn’t a good idea to just go blithely on, ignoring your condition. To play it safe and stay healthy, you need to make some adjustments to your diet and lifestyle and check-in with your doctor regularly.

Here are some suggestions for home treatment of fatty liver disease, or steatosis hepatitis:

  • If you drink alcohol – STOP
  • If you smoke – STOP
  • If you are overweight – LOSE WEIGHT  (do this slowly and naturally)
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    If you are out of shape – EXERCISE
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    Keep your cholesterol levels at or below normal.
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    Monitor and normalize your glucose levels
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    Avoid harmful substances such as drugs, fast food and junk foods.

The worst case scenario with this disease it that it could progress to the point where a liver transplant is your only option.  
This may well be a classic case of an ounce of prevention being worth a pound of cure.  Why sit back and do nothing, hoping that your condition won’t progress?

Where should you go from here?

It is my aim that this website can serve as a valuable resource for all things fatty liver.  We have published nearly 100 articles pertaining to information about this condition so please peruse around the site to find answers to all of your questions.  For those that would like access to a more concise and action-oriented diet plan, I suggest you check out this eBook.

It is a comprehensive guide called the “Fatty Liver Diet Guide”  that was written by an RN with years of experience seeing patients with fatty liver disease — both the alcoholic and the nonalcoholic type. It has been recommended by top hepatologists and dietitians in the U.S. and used by countless sufferers, including me!  In fact, this was the guide that first enlightened me to the importance of diet for liver health.  You can read my review here.

Put simply, this guide is a proven winner that has been seen on Yahoo Health, Web MD and CNN.com Health. It is chock full of knowledge, information and sample diet plans that gives actionable advice you can use right away to reclaim your liver health.  There are no toxic drugs to take, no doctor bills, no invasive procedures or surgeries, just a well-researched and well written publication that provides you the facts without all the fluff.  It could literally be a lifesaver for you.

Discover the course that jump started my recovery


Want to Heal Your Fatty Liver?

This extremely helpful guide, called the “Fatty Liver Diet Guide” is an eBook that deals with every aspect and ramification of being diagnosed with fatty liver disease.  It offers a holistic, natural approach to treating and actually reversing fatty liver disease.

  • Alice says:

    I would love to hear your feedback on a report on the “Forks and Knives” site. A Dr. Steven Gundry, author of The Plant Paradox. claims that the lectins in beans, fruits, veggies, and grains trigger inflammation, autoimmune disease, and weight gain are bad. So much conflicting information. Could you please comment on eating eggs, having read that high cholesterol leads to fatty liver. Thank you.

    • Greg says:

      Forks Over Knives? I haven’t visited the site but I watched the documentary and felt there was some solid science in it but also some, I hate to say it, paranoia. That was just MY take and I could be scientifically wrong on that…I’m not a physician or (professional) researcher so take that for what it’s worth. Now, I have heard the lectin theory but I do feel that it’s much more down to how much processed material we put into our bodies as far as inflammation goes. That’s just my personal experience and the experience of the input of many hundreds of other individuals I’ve come across interested in investigating these issues. Another HUGE factor – again, not down to lectins specifically but down to certain food groups – is that intolerances seem to be the really deciding factor in inflammation and autoimmune reaction. Look to the Big 8 as your starting “usual suspects”, try an elimination diet adding back one of these food groups once a day for a week at a time to see when and if a reaction or flareup occurs, eliminate that food. Go from there. Just my opinion on a good starting point for pinpointing this general issue, which is a big one.

      Please note that the so-called Big 8 are specific to allergies, not intolerances (these can but don’t always overlap) or diagnoses such as, for example, Celiac disease, but again, they can overlap and my experience has been that I, and many others, have experienced an amazing transformation finding intolerances and eliminating them.

      Re: eggs: Eggs are good. Have you read our eggs article? I think the whole idea of high *dietary* cholesterol causing issues is beginning to be peeled back layer by layer by researchers. I will have an article on that soon, actually.

  • Momi says:

    I have issue of fatty liver since last year. my SGPT was 167 and now it is 60. The main issue to me is lipids and cholesterol as I don’t have any other syptom. Please guide and help me.

  • sanjay says:

    sir, i had from past two months, i feel voimting after every meal and breakfast.i went for ultrasound and found fatty liver grade 2 with incresed prioximity.after that i limited the diet and make it proper.i had mildly enlarged prostate too.i am also diabetic but its in control now.pls suggest

  • Gloria Lawhead says:

    Mine is a fatty liver n I drink 2 Pepsi a day n I am stoppin as much sugar as I can what do u suggest I eat I eat lot tuna salad n hot flav cearl what else . could I eat

    • Greg says:

      1. First, always follow your doctor’s recommendations – we don’t know here whether you have any dietary restrictions or any other issues.
      2. Once you have your doctor’s approval to go forward, you should get in the majority of your calories from proteins, veggies, and if you are allowed this category, dairy, as well as some healthy oils and nuts. Fruit should not be top on your list – although healthy overall, fruit contains fructose, and going crazy on it could hinder your efforts.

      Those are the very basics. Have you picked up our free ebook? What have you tried so far?

  • Lisa says:

    I love your website. I came across this information when I got curious about risk factors for fatty liver disease. Having a hysterectomy increases the risk of NAFLD.


  • Vishnu says:

    I suffering grade 3 of fatty liver . What can I do.plz tell me what time it recover. I am non vegetarian plz suggest what I m eat.

  • Jibson says:

    I am 48 non alcoholic non smoker. Last week my routine checkup doctor told me i have mild fatty liver with heterogeneous parenchyma. SGPT is 18.7 and SGOT is 20.5.
    The doctor told me nothing to worry. Please advice

  • June Bonfield says:

    Hi Greg and all readers,
    We had an elderly auntie…passed at 96 years if age, very thin all her life. Each evening she had a cup of hot water with a tablespoon of Gin in it. She said it keeps the fat off the liver?????????
    Any one ever heard of this? Would it be good to strart this now after a diagnosis of “Fatty Liver”?

    thanks for a great web site Greg.

    • Greg says:

      (smile) No, I have not heard this. But God bless auntie and her wonderful 96 years. The main thing here is that she enjoyed them and lived a long and apparently happy life.

  • Brenda says:

    Hello, Greg! It is so refreshing to see someone share what they have learned to benefit others. It is also great that you tell everyone that you are not a doctor and they should heed their doctors advice. Thank you for all the help and advice you have given everyone.

    I am not in the medical profession either; however, I do research every medical condition the doctors have diagnosed me with and the list is getting quite long. I went through breast cancer treatment in 2012-13 (chemotherapy and radiation) which resulted in a 30 lb gain…weight & fluid retention. The treatments left me very lethargic and I was dragging myself around, forcing myself to do things. Just when I thought I was getting better, I had to have back surgery to fuse a deformed vertebrae to an extra vertebrae. Talk about being flat on your back! Well, things just get better and better. Here is the rest of the list of problems that have been diagnosed: Lymphedema, edema in lower legs, high blood pressure, pre-diabetic, sleep apnea, numerous ulcers in my stomach and upper intestines, early osteoporosis in lower back (from cancer treatment), and now, possible fatty liver disease…I have an appointment for final diagnosis. My oncologist ran blood work which showed elevated liver enzymes then ordered a CT which resulted in her referral to my gastroenterologist for final determination. I should say that all my problems are being treated except the pre-diabetic and osteoporosis which I am trying to deal with through diet and exercise. I receive lumbar injections to combat the irritated nerves in my back where the fusion took place which helps reduce/eliminate the edema in my legs and helps control/reduce the pain from my back so I don’t have to use excessive amounts of pain medicine. Needless to say, I am about at my wits end trying to manage all of this, which is why I am so glad to see this site.

    I haven’t looked at everything on your site but I am in the process. It looks like you recommendations are what I am needing. I am looking forward to implementing your “diet” and am anxiously awaiting results! I am trying to nip this fatty liver in the bud as my doctor’s appointment isn’t until the middle of November. I hope to have some good results by then!

    Thanks again, Greg!

  • Altus van As says:

    Hi Greg
    Last year, I had my gallbladder removed. Is NAFLD more prominent in me now or am I now more prone to NAFLD? Later this afternoon, I am going to see my Doctor, but I was just wondering? Sadly, I am overweight and it is a struggle to exercise as I am an Office worker and in my early 50’s. I dread going to see my GP, as I can almost write down word for word what he will tell me. I am about 250lbs and almost 6′ tall. The discomfort from around the area where my liver is, is not that bad (about .5/10) but I have lost my appetite and I struggle to get through the day without feeling like I am falling asleep. Thank you for listening to me Greg.

    • Greg says:

      The sleepiness is a concern, and something to bring up to your doctor. There could be some overlying condition causing the sluggishness. DON’T worry yet, just take your list to your doctor (that’s a great plan! We often forget what we wanted to say once we’re out of our element and sitting on a table with a white napkin on). Have you had a full panel including fasting glucose, by any chance?

      • Altus van As says:

        Hi again Greg,
        Thank you very much for answering my message. Yes sir, I had a full panel done yesterday and also an Ultrasound. I have not heard back from the Doctor, but expect to hear back soon. I will certainly let you know.

  • mustafa says:

    hi .. is there any link between fatty liver and alopecia areata … i have alopecia areata from last 3 years .. from last few months i wasfeeling slight pain and discomfort and i was diagnosed with fatty liver …

    • Greg says:

      I haven’t heard of a link, but I haven’t researched that specifically. Is it possible you have a single condition that’s linking these in some way? What does your doctor have to say about this?

  • Ashish says:

    Hi Greg:
    Thank you for all your inputs in this forum. I was diagnosed to have fat deposits in my liver
    with my liver enzymes slightly above normal (52) and Doctor advised me to reduce fats and eat more raw vegetables and fruits:

    Could you please suggest if its fine for me to follow the diet plan below for next 3 months along with exercise before I go for another ultra sound:

    Based on the little bit of reading I have done online I am trying to follow the following diet:
    1. Morning Breakfast (1 cup): one of following option
    a. Roasted Cauliflower with carrots, cabbage with olive oil.
    b. Legume Salad (Kidney beans, Garbanzo beans, raw tomato/onion, mint and corriander leaves) OR
    c. Whole grain Oatmeal OR

    2. Lunch:
    2 100% whole wheat bread + 3 Small Indian Roti (made with whole wheat durum flour) along
    with cooked legumes/Lentils.

    3. Evening Snack:
    Raw Salad (Brocolli, Cucumber, Lettuce, Cabbage, Cauliflower) with
    Fruits (Half avacado + strawberry, raspberry, blueberry and blackberry)

    4. Dinner:
    2 100% whole wheat bread + 4 Small Indian Roti (made with whole wheat durum flour) along
    with cooked legumes/lentils.

    Vegetable juice (Carrot, beet root, celery, ginger root, kale/spinach): 2 times a week

    Exercise: 5 days a week
    Either 25 – 30 mins brisk walking (2 days @ week)
    OR 15-20 mins running with minor weight lifting (4 days @ week)

    I used to weigh 56 kg. 5ft 2 inch, Male. Recently i lost some weight with exercise (Running + cycling) and down to 52 kg and lost some belly fat. I want to atleast maintain a weight of 56 kg
    by eating a healthy diet with exercise (including some weight exercise to build some muscle mass)

    • Greg says:

      I feel like this could be a good start. Personally, I’d be eating just a touch more protein if possible. That’s just me. You may need to tweak your diet until you find the perfect plan for you.

  • Alex says:

    I have read all the comments and reply. I am grateful to you all for the questions and replies. I was diagnosed sometime ago with hepatitis and today, I was diagnosed of fatty Liver. Is hepatitis the same as fatty Liver?

    • Greg says:

      No. A liver that is greater than 5% fat is considered “fatty liver” or NAFLD (non-alcoholic fatty liver disease). Hepatitis is inflammation of the liver. What has your doctor told you?

  • I cant seem to lose weight Im using a protein call Whey with fruit ib the am is that alright to do

    Thanks Shirley

    • Greg says:

      Shirley, lots of different things about the specific foods we eat affect our ability to lose weight for practical reasons (for example, some people simply can not control the appetite when eating too many carbs), but more often than not, barring a severe and diagnosed metabolic disorder or an undiagnosed condition such as hypothyroidism, it will all come down to how many calories, total, you are consuming.

      Now, again…that’s simplistic as so many factors will affect how satisfying the food is, and how the food we’re taking in biochemically “encourages” us to feel full, hungry, tired, energetic, a lot of different things.

      It’s impossible to say that just using a protein shake should be helping you to lose weight when there are so many other factors to consider. What does your diet look like overall? Can you give more details?

  • vishnu Venugopal says:

    HI,I am vishnu , 24 yrs , I have grade 1 fatty liver . I had tested high triglycerides too (435) and a cholesterol (220) . After having the medicines – adilip and Atorvastatin- My triglycerides and cholesterol levels are normal . so i have a fatty liver without cholesterol or triglycerides . That is my first concern ,
    And my second concern is , AS my cholesterol and triglycerides are normal , do i need to continue the tablets ?

  • Kabir says:

    Hi Greg,
    I wanted to tell you that I have high SGOT/SGPT-255 approx and uric acid 9 & I smoke 6-7 cigarettes a day and this habit of mine is regular can’t be able to stop can you advice me any Medicene and a healty diet for me I will be thankful to you…

  • Kerrie says:

    Are the following foods and drinks ok fir a fatty liver.Egg, corn chip, homnus dip or any dips for snack foods, soda water, lemon lime bitters cordial, manadarins, watermeoon, grapes, oranges.if I dd to a diabetic diet dies that also work well fir a fatty liver.Thanks for advice.

    • Greg says:

      Eggs, if you have no dietary restrictions against them, are GREAT for NAFLD as they contain choline. I don’t know about the corn chips…some people have difficulty with the salt content and with the fat content. We all know corn chips are not a “health food” per se but I would try to avoid them for now and see if doing without makes a difference. Re: diabetic diet – there are varying definitions of this. Are you referring to the standard carb-controlled “diabetic” diet?

  • Michele says:

    My sister had end stage liver disease 2 years ago. She had ascites, jaundice, memory loss, etc. She is an alcoholic. She quit drinking and had cravings for lemons. It was the biggest part of her diet. After 6 months she was almost completely normal. She has some short term memory issues, but otherwise is doing great. What in lemons would cause this to reverse so drastically? I too just found out I have a fatty liver. I feel great other than a mild back ache.

    • Greg says:

      Are you sure it was the lemons specifically and not a combination of factors?

      Lemons can be very healthy but this is the first story I’ve heard of this drastic a turnaround simply from the one food item alone.

      CONGRATULATIONS to your sister on a new, healthy life!

  • Tracey says:

    I have fatty liver disease, gall stones, celiac disease, joint pain & swelling. I have tried eating healthy, not really big on fruits & vegetables but I did try! Now I am making a bigger effort since that pretty much all I can eat with some exceptions (limited protein)! My question is everyone says pain in the right side,although I feel little pain in my right side I feel it worse in my left side below the rib cage! Do you know why this might be? And Thank You for this page, it is helpful & educating! An in the manner You are doing this to help others, You are to be commended!

    • Greg says:

      Honestly, it could be anything…what does your doctor have to say? Even the right-side pain may or may not be your NAFLD. You have a constellation of issues – these tend to feed on one another. As you start attacking one at a time it sort of has a domino effect. All these systems begin to affect one another positively just as they all began to affect one another negatively when you were on the wrong track health and nutrition-wise.

  • Manzil Basi says:

    Is it ok to take banana in fatty liver?

    • Greg says:

      Depending upon your dietary needs and restrictions, fruits should be fine. Bananas are higher in carbs than some other fruits (though not all). If you’re watching carbs and/or calories for any reason, be sure to count each and limit your bananas. Otherwise, you should be fine.

  • Pam says:

    What site is it where I can purchase this book? I just had ultrasound showing worse fatty liver than in 2011. Didn’t watch duet, gained more weight. Can’t see liver Doctor until November. Do liver enzymes stay elevated until fatty liver is better?

  • Sunita says:

    Hi greg,i am 62 years.my triglasides are 467. My hieght is 5.2. My gal blader had stones so it was removed 12 years back. Now i have fatty liver.i am a vegetarian. What diet i sould take.please help me.

  • Liver patient says:

    Just found out I have fatty liver disease . My doctor didn’t even tell me what I should do to control it. I had to Google information,and landed on this website. Can I drink flavor sparkle water ? No place of soda? I’m a soda lover. Does all flour have to be eliminated from diet like white bread ? Or can I eat honey wheat bread in place of white bread? I’m allergic to seafood so can’t eat fish what can I substitute for fish? Would turkey be healthy to eat? Turkey and chicken ?

    • Greg says:

      Have you downloaded our ebook (free)? It addresses some of your concerns. I’m surprised at your doctor. I would go back to him/her and ask for clarification. Protein usually is not a problem unless indicated by your doctor. Not all NAFLD patients need to eliminate wheat/wheat flour entirely; in fact, many of us continue to eat from this group, but you may need to control your total amount and if there are extenuating factors, such as pre-Type II diabetes, this rule may be different for you. Definitely ask your doctor for more information. As for sparkling water, I drink it on occasion…I love lemon flavor. 🙂

  • Kimbo says:

    Hi Greg,

    I’m 36, Male, about 90kg and little overweight, I used to drink most days. I began having a dull ache below my right ribs, slightly towards the front about 2 years ago, which would come and go. On two occasions in the last year I had fever and sweats for which lasted for a few hours. I often feel run-down and slightly nauseas in the morning, and tired especially in the afternoon/evening.

    I requested an ultrasound and my Dr. said I have fatty liver. He did not think it was serious, but I am worried there may be more damage than appears. Blood test revealed just over the max. reference for blood protein, 2.17 for Triglycerides (1.7 being max. reference), and 66 for ALT (Aminotransferase, 45 being the maximum it should be).

    I have stopped drinking alcohol and trying to eat healthily, but the dull ache in my ride side is still there, worse after a meal. Generally I feel healthier, but sometimes a little nauseus in the mornings.

    Should I be concerned? Thanks

    • Greg says:

      You know, honestly, I’d get on my doctor about this. The pain should not be worsening. Don’t panic, don’t worry, just see if you can get more facts so you know what direction to go in from here. You should NOT have to be in daily pain.

  • Taru says:

    Hey Greg,

    I am 27 yrs old,overweight person and detect Fatty lever 1 month ago. I have Sclap psoriasis problem form 2010. I want to know that is psoriasis can be the cause of fatty lever and what are the majors from which i can cure this.

    Thank you.

    • Greg says:

      Hi, Taru. Although I doubt psoriasis could cause fatty liver, it’s always possible you have a food intolerance that’s making both worse. Have you tried an elimination diet (no wheat, soy, eggs, nuts, etc. and then adding in one at a time week by week to detect changes)?

  • NTANDO says:

    I recently got that i have a non alcoholoc fatty liver, got that last week and my body has been itching for 5 weeks now,joundice is also showing on my eyes, my skin is bad especailly on my face … please help. What should i do

    • Greg says:

      With jaundice and itching, you should see a doctor IMMEDIATELY. If your doctor can’t get you in today, go to Urgent Care or the Emergency Room. I’m not trying to scare you, but this is something that needs to be addressed. Hope you feel better soon.

  • Rabia says:

    And sorry forgot to ask and I’m alooking taking supplements like vitamin C, biotin for hair and folic acid and ask my doctor abt these which she didn’t say much and said it’s fine to take these.

    • Greg says:

      I take biotin and C in with my regimen and have been fine so far. Like you I had my doctor’s approval just in case. Good luck!

    • Scott says:

      I too have fatty liver. The best thing is to cut back on alcohol if you drink. Eat a lot of broccoli and cauliflower, and kale. Stay away from red meats. Drink green tea. Eat apples. As far as supplements, take milk thistle, b vitamins, and tumeric. Also coffee has a ton of antioxidants that are good for the heart and the liver.

      • Greg says:

        Good thoughts, Scott. Personally, I still eat red meat, as well as poultry (very little pork; just my preference.) It’s a YMMV situation. Thanks for your input. Greg

  • Rabia says:

    I recently been diagnosed with simple fatty liver disease . I’m very upset and don’t know what to do apart from excersice and diet which I have been doing anyway for past 2 years . My doctor didn’t say much just excersice and diet and not to worry abt it. But I’m having this dull pain right upper quardrant of my body and at the back under neath the shoulder blade. My question is can ultrasound show the differnce between simple fatty liver and severe form of liver disease like Nash ?. My doctor just found it whilst they were doing ultrasound for something like muscular pain.

    • Greg says:

      You should definitely ask your doctor for more testing. Pain shouldn’t be ignored. An ultrasound will measure roughly the amount of total fat to liver size/weight.

  • gopu says:

    Hey greg,

    Yesterday my Ultrasound scan result came back as grade 1 fatty liver. And tiny gallbladder poly and also says liver size looks normal in size. My symptoms are slight pressure on right lower ribs and some dull pains around both right and left lower ribs area.
    Given my situation. Is it possible to reverse my situation with good diet and exercise . What kind of exercise I have to take daily. Am not a drinker nor smoker. Iam planning to go abroad next week coz I got a job their. Am freaked out now and crying..dont know what to do.

    • Greg says:

      Okay, first of all, good that although you have the NAFLD diagnosis, your liver overall is the correct size (i.e. not enlarged) so I’m assuming your doctor ruled out other issues than NAFLD? Also great that you don’t drink or smoke. Just take a deep breath – your doctor is doing all the right things and so are you by changing up your diet and exercise routine. Exercise if you’re going from “zero” (basically no activity) can begin with a 20-30 minute walk at least 5 days a week, but 6-7 days are better. Do what’s within your capacity and build up. You’ll be amazed what a difference exercise will make to your heath and what I’ve found is that it’s the consistency rather than, say, knocking yourself for hours but then not doing your workouts regularly. For diet, have you downloaded our free ebook?

  • Ran says:

    How long does it usually take before you are your old self, or is it even possible to go back?

    • Greg says:

      Ran, that really depends. There are so many factors: how progressed your NAFLD is, what sort of overall physical shape you’re in (not just weight but muscle proportion), other health issues and so on. I can say that when I began my NAFLD diet I felt changes within about a month. I just generally began to feel better, my digestion was better, less bloated, etc. Good luck.

  • peshala says:

    My mother was diagnosed with fatty liver grade 1. She is 54 years old. Is her condition is curable with exercise and diet therapy. Her BMI is 25…

  • nhereng says:

    Hi greg? i just want to ask if the SGPT 34.82 is it normal because my doctor said it is a bit high he gave me linovin forte. Im always worried everytime i feel something in my upper right abdomen even if it not that aching im always concious about my moves. Now i eat fruits and veggies i also drink lemon water every morning. Advice please

    • Greg says:

      It’s borderline. I believe most physicians use an upper range of 35. So your doc sounds as if he is being cautious. It sounds like you’re making some positive changes in your diet, which is important. Try not to worry…sometimes, when we’re hyper- aware of something, we worry, but IF your doctor has ruled out that there is an issue (did you tell him about “feeling” something in your abdomen?) then you may just be overthinking this. Check back in with your doc to make sure all is well and follow his protocol. Good health to you.

  • Chris Chan says:

    Can this e-book be downloaded to my iPad which has 128Gb?

  • Umesh says:

    Hi Greg,
    I have been detected with fatty liver with moderate grade. This is mainly due to alcohol as I was a regular drinker for 10 years.
    Over 3 months I reduced alcohol consumption (once in a week) and past 1.5 months completely stopped.
    I have started regular exercise (running/jogging) and do 20 miles per week. I have also reduced weight from 87 kgs to 80.5 kgs over last 3 months. My height is 180 cms and am 32 years old.
    I have included beet root and fruits in my diet daily. Mornings I have shredded beet root and carrot and evenings I have boiled beets. Increased nuts in diet. Sugar intake has been completely cut down.
    My LFT was completely normal on all parameters.
    With the above changes, I want to know how fast I can recover from fatty liver. Will the changes reflect in ultra sound after a month or I should do it every three month.

    • Greg says:

      It’s hard to say whether the changes will be visible via ultrasound, but your doctor may be able to detect positive changes depending upon your exact circumstances. The changes you’ve been making are FANTASTIC. Good for you!

  • yasemin says:

    I’m 12 years old and don’t know how i got fatty liver what should i eat i recently had a blood test and my protein level was over what it should be and the liver came up too also i have read that i should eat eggs and red meats etc. which have protein i have been reading everywhere HELP i’m so confused!!?? thank you

    • Greg says:

      I am very sorry, but I can’t answer pediatric questions. Please have your parents take you to your doctor so s/he can tell you how to proceed. Good luck and good health to you.

  • garima jhaveri says:

    pls answer in my email, i have detected with fatty liver grade 2, and i am taking medicines for thyroid and pcos too, at this time i am 30 kg over wight and i want to reduce this , suggest some easily available herbs and home remedies so that i can reduce weight as well as can control all of my three diseases.

    • Greg says:

      You may want to check out our free ebook. There is quite a bit of information in this regard. The first order of the day, of course, is to lose the excess weight. That should be initially addressed by diet and by adding exercise. What is your current diet/exercise program?

  • MIKE C. says:


    • Greg says:

      Changes in stool color can have many different causes. Very light-colored and/or greyish-colored stool, for example could be a sign of a blockage somewhere in the liver, as it is bile that gives stool its darker/brown color. However, ANY change in stool color should be mentioned to your doctor. Good luck!

  • shammi says:

    I recently went for a USG abdomen and was detected with fatty liver grade 2-3. No liver enlargement is found and no gall stones either. I am 5 ft 8.5 inches and weight is about 92 Kgs. I was also diagnosed with Total Cholesterol 166, HDL 35, LDL 85, VLDL 46, Triglycerides of 232 mg/dl. Also Sodium level is 133 mg /dl. I have started walking everyday 1 hr but slow walking as i feel bloating after heavy exercise. Is it reversible. I havent seen a doctor yet. What is the risk level and suggestions.

    • Greg says:

      Hey, I’m a little confused. You say you haven’t seen a doctor yet but you describe a variety of medical tests. Can you return to the doctor who performed or ordered those tests to ask for follow-up tests? You sound as if you’re doing all the right things to get healthy again, so kudos to you – keep it up!

  • trevor says:

    Hi Greg,

    Just got my ultrasound back and i have “mild fatty liver” I had an ultrasound of my liver 6 months ago and it was fine so this is new. I am scared and determined to change this, can it be reversed, is mild bad or is it literally the beginning stages. What is the website for this diet you speak of? Thanks

    • Greg says:

      Hi, Trevor. The best thing to do right now is stay calm and get informed. YES, many many people have reversed their NAFLD condition.

      I can’t say what your doctor uses as his/her measuring stick for “mild” NAFLD but I’m assuming s/he means your liver is currently 5% or more fat but not at a critical level. This is a very common condition and it’s actually great that you know now, in the beginning stages. (You may want to check with your doctor to make sure this is what s/he means.)

      The website in the article takes you to an ebook that describes NAFLD and ways to treat it. It comes with a guarantee. You can also click at the right for our free ebook to get you started on the path to liver health. Good luck.

  • Fatima says:

    Hi sir
    My fiance did an ultrasound and the report said that he had mild swollen liver due to fatty infiltration. He doesn’t have ever touched alcohol. He has absolutely perfect weight and is a fitness freak. I wonder due to what reason he has been diagnosed. I am really worried as his diet has reduced and he also lost a bit of weight. We also did a couple of routine blood, urine and stool tests but everything is perfectly normal. The only problem he has that he is unable to eat much food. Any advice?

    • Greg says:

      When you say he’s unable to eat much food, do you mean he feels ill when he tries to eat, or do you mean he’s just not a very “big eater”? This is something your friend will want to ask his doctor – it’s not possible to say via the internet why your friend developed NAFLD in the absence of the usual reasons it can develop. Good luck!

  • Aayush says:

    Hi. Recently i had ultrasound and i have grade 2 fatty liver with hepatomegaly i smoke 4-5 cigarettes a day and once a week i drink. Also, my height is 5’10” and i weigh 95 kgs. So what should be my ideal diet at this point of time?

  • wendy says:

    Lab results came back very high
    ASH both above 100
    ding cat scan on tuesday of my liver, I am very concerned about the high enzyme levels

    • Greg says:

      I wish I could give you an answer but you need to talk to your doctor about your lab results. You’re doing the right thing having labs done and going for the tests your doc recommended. Good luck and hang in there.

  • Sarah says:

    I understand potatoes and other starchy items are not allowed, but I am hoping sweet potatoes are the exception. Should I eliminate sweet potatos?


    • Greg says:

      Barring dietary restrictions given by your doctor, starchy items can be consumed while healing your liver. However, they should be eaten in small quantities and be used as a small side dish or “garnish” rather than, for example, a large-size jacket potato with all the trimmings. Sweet potatoes are a very healthy food. They too are starchy (and have a nearly-identical carb count to white potatoes), but the body may be able to process them more easily depending upon a variety of factors. Don’t cut these delicious and healthy foods out of your diet, just enjoy them modestly and occasionally. Make the majority of your diet healthy meats, poultry and fish, along with non-starchy vegetables.

  • terri says:

    Hi I was just wonder if anyone could help me here my step daughter was told that she has a fatty liver and she is only 7 can any one help me with what not to eat and what is best for her to eat as all of us in the house will have to change what we eat thank u

    • Greg says:

      To be honest, I don’t feel comfortable giving advice on the diet of a child even if you’re sure the DX is NAFLD. I would ask her pediatrician. We have many dietary recommendations on this site (see articles) as well as in the ebook, but those are intended for adults. Good luck!

  • Sherry says:

    Dear Greg,
    I just recently went to ER for discomfort in abdomen and pain on right side and back. Full work up was done such as EKG and full labs, where liver enzymens and function was normal. (PRAISE THE LORD) Ultrasound and CT scan was done with dye and it showed up on a spot on my liver, but doctor said I had a spot on my liver that has been there for over 1 1/2 ago when I had a previous ct scan for pain in pelvic. He said it had not grown or changed. I just went to GI doctor and he said for confirmation, I needed a MRI which I don’t have insurance for. He said I do have a fatty liver though. With all this said, I am obese and guarantee I am changing my diet today. I am 44 and other than hypythroid I am healthy. Do you know if you have a fatty liver, does it look like a spot on the liver? I need a very strict diet plan and will meet with a nutritionist very soon. Is their anything else I can do to improve my health?

    Please advise me

    • Greg says:

      I have not heard about NAFLD showing up a as a single spot on the liver. Generally, fat in the liver shows up on an ultrasound as “echogenic” (dense) and/or enlarged. The actual fat in the liver will show up as white areas. Did you ask your doctor what the spot was diagnosed as 1.5 years ago? There could be some damage or scarring from a specific issue.

      It sounds like you’re on the right track with your improved diet plan. Have you seen your nutritionist yet?

  • Brian says:

    Hi Greg,

    I had some stomach pains and just not feeling good a few weeks ago. I got an Ultra Sound and my doctor said I have mild fatty liver? My doctor told me to go to a GI doctor if I had other questions. That appointment is a ways out so I was hoping you could answer a few questions for me.
    First: what stage is mild fatty liver?
    Second: Can an Ultra Sound determine if it is a diet fatty liver or an alcohol one? I drink quite a bit of alcohol, I am overweight, and my diet is not very good.

    • Greg says:

      If your doctor said your fatty liver was “mild” I would think s/he probably meant Stage 1 (simple fatty liver/
      Hepatic steatosis). An ultrasound should be able to determine what’s actual fat (white streaks) v. scarring. Did your doctor advise you regarding the alcohol? Even if it’s NAFLD (non-alcoholic fatty liver disease), alcohol can cause problems when trying to heal the liver.

  • Suresh Dey says:

    I am 43 years old. height 5.4″ and weighs 68 Kgs. Recently after having Ultrasonography, my doctor says I have a moderate fatty liver. My symptoms include bloating around the ribs, discomfots, bowel movements, pins-pricking sensations in my belly area etc. A friend advised me to take Herbalife supplements for weigh loss. What should I do ?

    • Greg says:

      Talk to your doctor first about supplements. Some hurt rather than help the liver. Too much weight loss too fast also hurts your liver more, because it thinks you are “starving” and will work even harder. Your mantra should be “everything in moderation” – slow, moderate weight loss, balanced and healthy meals, and moderate exercise every day. Check out my blog more for some special herbal supplements such as milk thistle. The Liver Diet guide I suggest also goes into meal plans, recipes and liver-friendly supplements.

  • krish says:

    Diagnosed with fatty liver today And i m 29 years old i just want to know is there any treatment for fatty liver. i will control my diet but does medicines work for it to get rid off ? i want my liver healthy pls tell me is there medicines for it ?

    • Greg says:

      Fatty liver is usually caused by bad diet and little exercise, so lifestyle changes should reverse it. There really is no medicine, but there are “liver friendly” herbs and teas that will help – check out this page for more info.

  • carina62 says:

    I found out (by chance) a few weeks ago that I have a cyst in my liver and fatty liver from an ultrasound scan which I thought was possibly gallstones. I was (and am) shocked to say the least to find this out and feel quite upset and depressed about it. I asked my GP if it is possible that I may have have this fatty liver for years and not have known about it and she said Yes which makes it worse. I am very overweight and am also diabetic – what can I do to improve my health? thanks

    • Greg says:

      Fatty liver and diabetes are interlinked, so by controlling your diabetes you should be able to control your fatty liver. Yes, often fatty liver can go on for years – millions of people have it and don’t know it because there are very few symptoms. It’s unfortunately often due to our poor diet of sugar-heavy foods and greasy food. The good news is that your liver has a great ability to heal itself, so if you can control it with proper diet and exercise, you may even be able to reverse it.

  • Sonia says:

    Hi Greg,my husband is 42 years old.he is having pain on the right side of the pelvis further past 1 week.we got one ultrasound done and came to know that he is having fatty liver and cholesterol problems.Thd doctor hasn’t given any medicines for his pain.we are confused.Pls help.

    • Greg says:

      There’s not really any medication for fatty liver (I think one is in an experimental trial) – the pain is likely caused by liver inflammation. Talk to your doctor again (or get another opinion) and see what can be done. Also check for diabetes, because one is often interlinked with the other. “Diet and exercise” is often the cure if he is overweight, and no alcohol. I talk about how to achieve this in my step by step guide you can find in the menu. The Liver Diet Guide also has a detailed program and recipes to help.

  • Meg says:

    My dad is 50. He has been diagnosed with type two diabetes a few years ago, has always been overweight his entire life, smokes on and off, couple years had a kidney stone and remains to have kidney problems. Couple years he started drinking heavily, causing issues at home and work, month ago went to rehab, has a fatty liver, but claims to have stopped drinking. Basically I would like an honest answer on how long he will last

    • Greg says:

      Yikes, a bad combination. There is no telling how long, because each case is different. Fatty liver can turn into liver failure in a few weeks or twenty years. But if he begins to complain of pain in his abdomen, itchy skin, or his skin has a yellowish tinge, it means his liver is indeed failing. I hope things turn around!

  • Brenda says:

    Hi Greg!! I need some help. I’ve been diagnosed with a fatty liver and all my doc said is watch your diet and lose weight, which I’m doing. I have 12lbs to my goal weight. My problem is what foods are good for my liver and which ones are bad? I like salmon patties but I know I can’t fry anymore. Any info would be a great help. Thank you so much.

    • Greg says:

      You’re on the right track. Basically, watch out for fried foods, overly-processed foods, soft drinks, fast food and snacks like potato chips, candy and chocolate bars (switch chocolate bars for organic dark chocolate). Since your doctor didn’t give you much guidance, I am assuming you are at a low stage of fatty liver that can be easily reversed with some weight loss.

  • Adela Carpenter says:

    Hi Greg I have fatty liver my question is what kind of grain can I eat. Thanks

    • Greg says:

      Whole grains, because it has fiber. Though white bread and whole grain bread has the same amount of carbs (which are processed into sugar in your body), whole gain is processed slower and more gently, due to the fiber.

  • alam says:

    Thanks, Greg!

  • alam says:

    I had US scan today after experiencing dull pain on right side abdomen and its grade 3 fatty liver. Is it curable? Or can it be controlled?

    • Greg says:

      Yes, it can definitely be controlled, which you can read more on this site or the Liver Diet guide I recommend. It’s curable as long as you remain on your healthy lifestyle 🙂

  • Dipankar says:

    I have a pain in upper of my belly. USG report says it is Fatty Liver. How do I understand what is mine NAFLD or AFLD? What are the symptoms between these ?

    • Greg says:

      They are the same condition, just different causes. AFLD is strictly due to alcohol harming your liver, while NAFLD is (mainly) caused by poor diet and lifestyle. Abstaining from alcohol, exercising, losing weight, and eating a healthy diet with little grease, sugars and salts will help you reverse the condition in both cases.

  • JT Mcavoy says:

    Greg I was recently dx with fatty liver. I am only 10lbs over weight, very active and have no other risk factors that i have read about. My only other significant med hx is chronic back pain and 3 back surgeries. My diet while not the best is not quite horrible either. How we found out about this is elevated enzyme levels after a two year period. We thought it may be the meds i was on for my back, turns out it was not. What changes in lifestyle and diet could you recommend that I am not doing right now. I do not drink or smoke at all by the way.

    • Greg says:

      I would have your doctor try to find out other reasons, as it sounds like you are doing all the right things. Hepatitis is one cause as well. Try some of the herbs I discuss on this site as well, such as milk thistle and choline B vitamin. Cut out sugars and soda (and anything with high fructose corn syrup), and increase your portion of green vegetables.

  • Ellen says:

    I have been diagnosed with a fatty liver and small ( debris) gallstones, I have pain under my ribs on the right side. Can you have pain with a fatty liver? I have had an ultrasound, now I have to go for a MRI, feeling a bit concerned.


  • Dianne says:

    I have a fatty liver i have pain in right side and radiates to my back. My gastro doctor asvised to exercise and low fat diet. Iam over weight. Started diet and walking 3 to 4 times per week.hiw long does it take for the pain to subside?

  • Kerry says:

    Thank you for the information. I also had the non-alcoholic kind and I am thin not fat. I am going to see a Natural Path Doctor now because I had an ultra sound but it is taking too long to see a medical specialist. Is it good to see a Natural Path? Also thank you very much for your website. It is very helpful.

    • dant says:

      Kerry. I am in your position. I am thin and have fatty liver or nash. Have you fixed your fatty liver and was it worth seeing a nathopath. So far for me gp has been useless. Your thoughts

  • Angela says:

    Hi Greg, i am having a question. Is it possible to have a Fatty Liver because of too much treatment? I been diagnosed with RA since a small kid i been doing treatments alot 7 years continuous injectable plus pain killers, 2 years ago i been diagnosed with acide reflux and irritable bowel syndrome i had to take for a year treatment, and recently after an ultrasound i been told i have a fatty liver but nothing else if its serious or not. I do not consume alcohol i dont drink any soda since 6 years and i tryied to eat as healthy as possible since i been diagnosed with acid reflux. I still do not know how i got a fatty liver (to mention i been skinny all my life and i do not suffer of diabetis)

    • Greg says:

      It’s definitely possible, Angela. Many medications do put stress on the liver, as it has to work harder to process them (Tylenol is one of the worst for long-term liver damage). Talk with your doctor about your prescriptions and see what can be done.

  • Nicole says:

    My almost 3 year old son has been diagnosed with a fatty liver last year. The doctor advised us to increase his physical activities (exercise). Is it possible to have a diet plan for a toddler with fatty liver? Please let me know. I will appreciate it.

    • Greg says:

      Hello Nicole, the diet plan would be the same as for adults – concentrate on limiting sugar and fats. Don’t go for any herbal remedies or vitamin regimes I talk about on the website, just make sure you include servings of vegetables with meals and encourage healthy snacks – for my grandkids, they love sliced apples sprinkled with cinnamon, and “ants on a log” – peanut butter in the grove of celery with raisins on top. For vegetables, do a search for “kid friendly vegetable recipes” and try a couple. A big concern is fructose in the diet, such as that in soft drinks and sugary cereal, so substitute those for milk, water, apple juice and healthier cereals like Wheaties and regular Cheerios.

  • Rob says:

    Hi Greg,

    I am 6 feet in height and 80 Kg.
    I was diagonsed of a fatty liver in 2007, but was advised that it is not serious. However, in 2013 the Ultra sound showed inflammation and increased size to 16.8cm.
    Last week another ultra sound showed Grade 2 fatty liver with enlarged size of 16.9cm.
    My ALT are also raised since few years to 55 (normal is less than 50)
    I am an occasional alcohol drinker (once a week) with a relatively sedentary lifestyle.

    My question is if I stop drinking alcohol and soda and eat less sugar/fat/carb and walk 30 mins everyday. Can it actually reverse my liver condition ?

    • Greg says:

      Hello Rob – if I may quote from a famous President, “YES you can!” That’s very close to how I reversed mine. Since I used to drink soda all the time, the first thing I did is replace it with soda water and a squirt of some time of juice – about 1/10 of the glass would be juice, enough to turn it into a spritzer. I joined a health club so I was forced to go (because I was paying for it), but a 30 walk every day is definitely sufficient. Since your body won’t be used to the exercise, go slow at first, and as the weeks go by, consciously make yourself walk a little bit faster. Take care!

      • Rob says:

        Great thanks Greg.
        How long do you think it usually takes to see any significant positive changes, that would show up in an ultrasound.?

  • sheila says:

    Is the fatty liver diet the same or similar to a diabetic diet? What is the difference?

    • Greg says:

      It is very similar. For diabetes, you want to limit sugar intake. For fatty liver, you want to put as little stress on your liver as possible, so means limiting sugars and fats. There is also new research suggesting that diabetes and fatty liver are linked (one can cause complications with the other).

  • Srinivasan Jothi says:

    I have fatty liver my liver test was normal and right side pain what i do sir

    • Greg says:

      The pains is likely because your liver has been enlarged. By following your doctor’s orders and recommendations on this site (healthy diet and exercise, and no alcohol), it should gradually lesson as your liver heals. Good luck and take care!

  • shankar says:

    Hi greg!

    I am 26, 5’8″ tall and weighed 92kgs.6 month ago I underwent a scan. The report said “Liver normal in size with slightly increased echogenicity. There is no focal lesion. Portal and hepatic veins are normal.”

    Final impression:
    Mild degree fatty infiltration of liver. No other significant abnormality detected.

    My blood work was done immediately and AST and ALT levels were in range.

    After diagnosed with mild fatty liver; I lost weight through diet and exercise. I am 79kgs as of today.

    Recently I went for a scan and its still the same :(.

    I hope i can live with it normally…how long does it normally take to cure.. on an average!

    • shankar says:

      I also have a vitamin b12, folic acid and vitamin d deficiency. Strange… but I used to take healthy fruits and veggies. Now im on supplements for vitamin D and intra muscular treatment for vitamin b12.

      im worried greg… 🙁

      • Greg says:

        That is very strange, unless you are on a very strict diet. If you eating healthy, with lots of fruits and vegetables, it shouldn’t be a problem. There are some conditions that could cause this, like Crohn’s disease, but you would definitely feel the symptoms of that.

    • Greg says:

      Once you have fatty liver, it could occur again if you let your healthy habits slip. There really is no average, as it’s different for everybody, but it took a couple months for me. It definitely sounds like you are on the road to recovery, and I’m sure you feel much better with the weight loss!

      • shankar says:

        Hi greg!

        Thank you for your response.
        I did go on a strict diet for a few months. Its strange. I hope I come out of it.


        • Acharya says:

          I saw this by accident.NAFLD is quite common in Indians.
          You need to bring down your weight to 70 kg or less. Reduce your starch intake and eat more vegetables but not much starchy vegetables, And no fried foods either. You will see the difference in a couple of months.

  • Aakanksha Potdar says:

    my dad..he complained a few days back that he was having pain in left abdominal portion..
    and we led to the USG of whole abdomen..
    the impression of the report says.. “Grade II fatty liver changes” and “Prominent median lobe of prostate bulging into bladder base”
    he is 52 years old..and is having diabetes..
    what is it..?

    • Greg says:

      Grade 2 fatty liver is moderate – it can be reversed with lifestyle changes. The disease is also linked with diabetes, so this must be managed at the same time. It also sounds like he has an enlarged prostate, which is a common problem for us older men. I can’t recommend anything for that, as I’m not a doctor, but check with his own to see what can be done. Take care!

  • krystina says:

    Hi i was wondering im Taking Synthroid And i have Fattie Liver they told me about Milk Thistle but im not sure if i can take it?

  • brandon says:

    Hi doc, I had my CT scan last week and showed diffuse fatty liver. I was given ursodeoxycholic acid 300 mg twice daily. is it effective?

    • Greg says:

      That drug helps in dissolving gallstones and is used for primary biliary cirrhosis (info here on it). There isn’t yet an effective drug for fatty liver – your best bet is to exercise and eat a healthy diet to help your liver recover.

  • JULIA NOLD says:

    I was diagnosed with fatty liver a week ago. I have been very fatigued and cannot eat anything “solid” without severe abdominal pains after about 1/2 hour, which means a lot of smoothies and pureed homemade soups. Is it normal to not be able to eat ANY solid food or should I consult the doctor again? Both soups and smoothies contain lots of fruits and/or veggies, no salt or oil and almond or soy milk.

    • Greg says:

      That sounds more than just a fatty liver problem. I would definitely consult your doctor again, and see if you can see a specialist. Good luck!

  • Juanita says:

    I had an abdominal ultra sound. Doctor said I have an enlarge liver.Fat around my liver. I never heard of that. I started, he said it was not serious. He said loosing weight would take care of it. I am taking Milk Thistle. Will that cure it? I will try to loose weight.

    • Greg says:

      Milk thistle will help the liver, but not cure it. There are phases to fatty liver, so if said it’s not serious, you’re in the first stage. It means you have a slightly higher content of stored fat in your liver, which causes it work a bit less effectively. At your stage, yes, losing weight is best. Avoid greasy foods, alcohol and sugary drinks.


    My Name Is Yolanda. I Was Diagnosed Of Having A Fatty Liver. How I’m Going To Get Rid Of This. I Always Have Stomach Pain. I Was Worried About This. My Doctor Give Me A Blood Test And Ultrasound. What Else That I Supposed To Do. Thank You.

    • Greg says:

      Hello Yolanda, you’ve come to the right place. Start with my Step 1 and go from there. Consult with your doctor on questions, and I would also look for a nutritionist or dietician, as a lot of (non-alcoholic) fatty liver cases are due to the type of food you eat. Take care! I’ve received a lot of comments from people who have improved their condition.

  • jon says:

    Hello doc I was diagnosed of fatty liver last month so last I was started to take a medication named sylimaryn legalon ..my doctor told me i am under lyng in his treatment which I can do within 3months is taking this mdcne one sylimaryn on each day.. but the question I dont know what status that I have becasue til now I still experiencing pain on my right..sometimes on my right upper back..but not too much pain..what can I do? Im tired and feel afraid..

    • Greg says:

      Hello Jon, I’ve never heard of silymarin legalon, and found out it’s an extract of milk thistle, which is definitely a helpful supplement for your liver – but it is NOT medication that will cure it y itself. Did you doctor also mention diet changes and exercise? Those are the main actions to take, unless you have another underlying condition, which your doctor will know about. Take care and get better!

  • Zain says:

    If I have non alcoholic fatty liver can u take protien supplements for the gym ? And if not what can I do to keep my body right as a body builder ?

    • Greg says:

      There are a lot of supplements that can cause stress to the liver, so check those. Protein powders are fine. It’s mainly your diet, so examine what you are eating and modify as necessary … and of course consult with your doctor to make sure there’s no other underlying condition.

  • Juanita says:

    Went for my results, of my ultra sound for my stomach, 2weeks ago. I have been having pains for some time now.My Dr.he is my Gastroenterologist said I have an enlarge Liver. I asked him, what did that mean. said fat around the liver. I asked him if it was serious, he said no, just change my diet. I now take Milk Thistle, because I read, how it cleanses The liver. Is that info. on Milk Thistle correct? Thank You.

    • Greg says:

      Yes, milk thistle helps, but it’s just a supplement – it won’t cure it. Your doctor is correct, it’s mainly diet changes and exercise.

  • veeru says:


    I have fatty liver (level 1)problem and i have been doing below things…friend..i want to know how long i can live..because i have many responsibilities as my father expired.

    1. I have stopped all oily food from three months.
    2.i only take idly as breakfast and no oil food for lunch or dinner.
    3.i am 5.4 inch height person and i am 54 KGs wait currently.
    4. i am non- alcoholic.
    5. due to heavy night shifts i got this problem by skipping food all the time.

    Please help me really how can i live long at least for 15 years please. now i am 27 years old.

    • Greg says:

      Starving yourself does put stress on your liver, so do your best to eat good food at regular intervals. Eat a good breakfast too, though for night shifts it looks like you should have a good dinner instead.

  • Tyse Delane Lawhorn says:

    I am 18 years old and i was dignosed NAFLD 2 days ago. I know i am young but i need advice i have a 15yr old little brother and i have a little sister on the way and would like to see her grow up. what kinda of diet would you recommand. i do workout i lift weights but i cant seem to lose weight.

    • Greg says:

      You can read through this site for tips on what types of food to eat – limit your carbs, sugar, greasy foods, cut out alcohol, and eat lean protein, fruits and vegetables, and water and smoothies. You say you lift weights, so you probably eat a lot more … I would check with a nutritionist to customize your diet, because I wouldn’t want you to stop weight lifting. Perhaps vary your workouts to include walking or swimming as well, which helps your cardiovascular system and burns fat? Good luck!

  • ravindra says:

    can you tell which type of exercise one can do to keep the cholesterol in control and reduce weight , but i am a diabetes patient too. and feeling some pain in upper side ,where liver is located .so can you advice a good and easy exercise for this.

    • Greg says:

      Actually, I find walking the best. That’s what I did when I had fatty liver – about 5 km per day, which took me about an hour, but as long as you are more active, do what you can. Swimming is great too, and I do that once a week.

  • Simone says:

    Have been diagnosed with fatty liver, I am very overweight. I have just started trying to change my diet as I’ve been having pain in my right side (gallbladder has been removed a year ago). Eating spinach and mushrooms and am getting rather bad diarrhea. Think about going on a vlcd shake replacement meal. Any thoughts on this?

    • Greg says:

      Hey Simone,

      You can do this, but as part of your overall diet. Don’t lose weight too fast, it will actually put more stress on your liver (because it thinks you are starving, and will kick into overdrive to try and “save” you.) Losing 10% of your body weight over a few months is ideal.

  • Leslie Garsten says:

    I have had pain and tenderness in upper right abdominal quadrant for a few months and was diagnosed with mild fatty liver and a liver nodule after an ultrasound. Now doctor wants to do a CT scan on the nodule. I understand change of diet, herbs, moderate exercise will help the fatty liver but what about the nodule? I would like to just use natural treatments and avoid the scan because of the radiation. Is that wise?

    • Greg says:

      Yes, CT scans do give some radiation exposure, but your doctor is concerned about that nodule and wants to make sure it’s benign. Perhaps ask for a biopsy or MRI? (You can’t use an MRI if you have implants or anything containing metal in your body.)

  • pankaj says:

    Tell me how to get rid of fatty liver condition in a non alcoholic patient who has undergone a spondiolysis operation at L4and L5 vertebrae level and patient is feeling pain, like that something is pulling the skin from inside and a short of elevation in the mid axillary line at about 9 rib.
    Try to tell some home remedy for the patient. Which can be easy to perform for the patient.

    • Greg says:

      I don’t think I can help you Pankaj – I’m not a doctor. Along with physiotherapy for the back, the best remedy for fatty liver is proper diet and no alcohol to allow the liver to heal. It’ll take a few months, but it’s a lifestyle change towards healthier diet and moderate exercise.

  • Manbir says:

    Hi, i got lil bit pain in my stomach few days ago and went to see my doctor. He told me to get some body tests done. Rest of the tests were normal but in ultrasound i got FATTY LIVER WITH FOCAL SPEARING but liver size normal. What i have to do now???? Plz advise me.

    • Greg says:

      Hello Manbir,

      Focal sparing is good – it means you don’t have tumours, which is what they could be confused with. My site details what you need to know to reverse your fatty liver – start with my Steps on the top right of this site, and go from there. Take care!

  • kelley says:

    Thank you so much for this site. I was wondering if anyone was going to ask … didn’t see it… so here it goes… so is this a life sentence of no alcohol and fried food? I mean once a person gets blood work numbers and ultrasound results showing a non fatty liver and good numbers? Or once a good -level is reestablished after some good clean living, will a vacation of margaritas or beers on a beach completely reverse all the good done? What’s the long term prognosis on again eating a burger and beer??? (In moderation of course)

    • Greg says:

      Yes, you can have the occasional splurge (and congratulations on your good numbers!) If you’ve been exercising regularly and eat very well, a vacation with beers and burgers won’t undo all this. Especially if you had moderate fatty liver, you’re okay. If you had NASH (a worse form), then you’d have to be more careful (just go for the occasional low-alcohol beer).

      What I would do is splurge the first day of your vacation (but don’t binge! Just one or two drinks, not ten). Eat good, healthy food the next day or two, then have a grand meal with your friends.

      The idea is to balance it out. You can occasionally splurge, but as a treat. I’m sure you feel much better now than you did before. We are what we eat, right?

      Of course, I’m not a doctor, and I don’t know your previous condition. I would have a quick consult with your doctor and ask him if it’s okay.

  • Jennifer says:

    Hi there,

    I just received a call that my ultrasound results indicate a fatty liver. I have an appointment with gastrointestinologist in a few weeks. I don’t drink often, I am not diabetic. I am overweight and eat horribly. I have had an edema in my ankles for a couple of years and the doctors don’t seem concerned, could this be related? I also have gird and h pylori. I was also diagnosed with a vitamin d deficiency earlier this year. What should I expect or prepare for when meeting with the doctor?

  • Chet says:

    I was diagnosed with fatty liver and diabetes. Not sure which came first, but I had elevated liver enzymes and a blood sugar of over 500 until I started taking supplements. In addition to the Hepatiben I take from Liver Medic, I want to know how I should change my diet. I do eat mostly veggies and fruit, but I have trouble staying away from sugars and carbs. Do you have any suggestions? The Hepatiben has really helped with my enzyme levels and I no longer need insulin shots, but I do want to start eating better too.

    • Greg says:

      Hello Chet,

      It was likely diabetes that started first. Though the research is ongoing, there’s been lots of new evidence that diabetes could trigger fatty liver. Everything is interconnected. You’ll definitely have to cut down on the sugar and carbs, as this is damaging your system. Keep up with the veggies, and fruit is fine – because of the fiber, the sugar in fruit is released more slowly. Carbs, however, is converted to sugar, which is why you have to cut down on those as well – anything with a higher fiber content is better (ie 100% whole grain breads).

  • Sara says:

    My husband was just diagnosed with stage 3, grade 2 fatty liver disease, what kind of diet should he be following? Is milk bad for him? and what can we expect?

    • Greg says:

      I give a good outline of a meal plan on this site, and you can also check out the guide I recommend. Symptoms can include pain in the abdomen, fatigue, and swelling of the skin. The problem with this disease is that there are often no symptoms, or general symptoms which can be anything, such as feeling tired all the time. Also, try herbs such as milk thistle. Definitely no greasy foods or alcohol. You can read more on my Step 2 and Step 3 articles. Also, if his doctor told him to lose weight, do so slowly. No crash dieting. Good luck!

  • Max says:

    I’ve been taking Omega 3 fish Oil, Oats, and other Fibers to reduce my liver damage, and have it now under control. I’ve been drinking alcohol every other day for the past year, and that is why I felt I had a bulging liver and went for a check up.

  • Cindy says:

    I recently had an ultrasound and the doctors office called to advice that I have an enlarged liver, probably caused from fat. I was told that I shouldn’t be too concerned, but I am. I am not diabetic, used to have high cholesterol, but have controlled my levels through diet and exercise. I do have hypothyroidism controlled with meditation. I’ve recently gone back to eating meat. I am overweight (5’4 / 225lbs) but I participate in boot camp training 3-4 days per week and I cycle 20-30 miles every weekend.

    I’m googling dietary options and will most likely return to a non meat diet but am wondering if my results are indicative of a bigger issue, or what I can do to speed up my liver healing.

    • Greg says:

      Your doctor is right. Fatty liver is actually a very common condition and is usually caused by poor diet and exercise. It sounds like you are on the right track to better health, and your liver has an amazing capacity to heal itself. Meat is fine (lean chicken, turkey and fish is best). Avoid alcohol and greasy foods. Try special herbs like milk thistle. There is some connection between your liver and hypothyroidism, so that could be part of it. But all in all, you’re doing fine.

  • sadiq ameen says:

    hi greg…

    i am 21 years old. i am a student. i used to eat a lot of potatoes. that is why i have fatty liver and my sclera is yellowish…. i have consulted doctors and performed a lot of tests which are normal. but ultrasound impression is fatty liver. i am not worried about fatty liver but my yellowish in eyes had destroyed my face beauty. i feel a little nervious when talking face to face with my friends and try to hide my eyes. for God sake tell me how i can get rid of my yellow colour in eyes.

    • Greg says:

      Potatoes are high in carbohydrates, but in themselves I never heard of them causing fatty liver. It sounds like you have jaundice, but you said your tests came back normal. I wish I could help you more, but I’d try and find other reasons for why your eyes are yellow.

  • hari balan says:

    hi greg,

    my mom suffer from breast cancer for past 3 years …now suddenly she lost weight 10 kg in 4 days and have pain in upper abdominal, while checking with doctor they told fattyliver enlarged. doctor told if she eat fat items the fat cells can be turn into cancer cells is this true ? ..can she eat good cholestrol (HDL) found in like salmon oil, almonds , olive oil…

    • Greg says:

      Yes, fat cells can turn into cancer, but this is the very distant end stage of liver failure … however, rapid weight loss, as what happened with your Mom, can cause liver damage as well. Try some of the diet methods I list on this site, such as herbs like milk thistle and vitamins like choline (found in egg yolks). Salmon oil, almonds, etc (any omega 3 fatty acid) definitely will help too, as it will decrease the production of triglycerides, the fat produced in your liver that causes obesity.

  • Masi says:

    Hi Greg, Appreciate the work your doing.I’ve been getting abnormal reading in my liver function test especially my GGT test which resulted in 1024 a month ago.Last week it dropped down to 720.Doctor told me to do an ultrasound abdominal test today and found that I have fatty liver.Im 6’4″ in height and weight 136kg losing a total of 8 kg in the past two months.I had n open heart surgery replacing aorta valve with a medal valve in 2011 and taking Warfarin for blood thinning and cilazapril for controlling blood pressure.Recently I’ve experienced swelling on my foot and knee could it have some connection to my liver condition? At the same time my urid acid level is above normal.Your advices will be much appreciated

    • Greg says:

      Hey Masi, that sounds like gout, but it’s very likely related to your fatty liver (swelling is a condition). Check with your doctor about these symptoms, and maintain a healthy lifestyle (moderate exercise and a low-fat diet, and lots of water.) Also, make sure you don’t lose weight too fast, though 4kg a month is safe.

  • Pablo says:

    I have been told I have a mild to moderate swollen Liver with an elevated transaminase level, what does this mean & can I do anything about it.


    • Greg says:

      Certainly, Pablo, read the steps I outline on this site (top right menu). The guide I recommend also has a full plan of action to heal your liver. Best of luck!

  • Samyak says:

    Hi Greg,

    My SGPT is 123 U/L and have been called for a Sonography !! I am 18 and DO NOT consume alcohol at all !! I am 6’2” and weigh 98kg and that is a worry !! Please suggest me a diet

  • Dianne says:

    I am having pain on the right side of my abdomen and sometimes radiates to my back. I had an ultrasound and ct scan with the dye. Ultrsound shows fatty liver, scan was ok. Does the fatty liver cause the pain?

    • Greg says:

      Yes, because your liver is enlarged, so it’s pushing into surrounding tissue. Once you get the disease under control, this pain should lessen as your liver heals itself.

  • Bert Raymond says:

    I struggled for years since 2008 with pain, redness, swelling and itchiness on my right side just below my rib cage.. Finally found out that I have a fatty liver and starting to develop specs in my gallbladder. The pain was very intense at times. I still eat the same foods and the only thing I changed was I switched from smoking and vaping marijuana to eating a small drop of marijuana oil everyday a few hours before bedtime. The oil relaxes me so that now I can sleep through the night without waking up even to pea. I don’t have the pain anymore and I also now drink 3 to 5 ounces of pure lemon juice 1 ounce at a time with a meal. That has taken the itchying and swelling away. No I do not dilute the lemon juice when I drink it. No it does not hurt my stomach. I drink water afterwords up to 6 liters a day. Plus I drink black licorice tea one a day … and I feel great better than I ever did in my life.

  • Sanjay Singh says:

    Hi Greg,

    Can you please help me to categorize below Fresh Juice intake during Fatty Liver in terms of Yes or No:
    Sugarcane Juice, Coconut Water, Pomegranate Juice, Orange Juice, Apple Juice, Spinach Juice, Lettuce Juice, Beetroot Juice.

    • Greg says:

      All these juices are good, but always in moderation and variety. I myself have smoothies in the morning with a different combination of fruits and vegetables, including the ones you listed above. During the rest of the day, I usually drink tea and water.

      I’ve never tried sugarcane juice, but doing some research in online medical journals, it looks to be a promising juice to help protect the liver.

  • Sanjay says:

    Thank for so much nice information.
    I’m diagnosed with fatty liver.
    I want to know that mild fatty liver and grade 1 fatty liver are the same things..?

    Sometimes I eat 4 apples in a day. Doesn’t it affects my liver due to intake of excessive amount of sugar.

    One time I diagnosed with mild fatty liver changes

    Second time I diagonal with liver enlarged in size and outline. Grade 1
    Both are the same or any difference?

    • Greg says:

      Thanks, Sanjay. Yes, grade 1 and mild fatty liver is the same thing. Apples are okay, because the sugar is locked into the fruit fiber, and so your body absorbs the sugar more slowly. If you are worried about sugar, make sure to avoid dried fruits (such as raisins), which are just as bad as candy, because the sugar is concentrated during the drying process. Stick with fresh fruit.

  • kim says:

    hello greg..i was diagnosed with fatty liver and the doctor told me to just go and watch my diet …..but i still feel pain in the right upper side of my abdomen

    so i later went for a liver functioning test
    and the result is as BELOW

    (numbers removed for privacy)

    pls advice me according to this result

    • Greg says:

      Hi Kim,

      I’m not a doctor, so I can’t advise you on anything. The numbers are high, but not dangerously so. The pain is likely because your liver is a bit inflamed. Luckily, it is the toughest organ in the body, and fatty liver can be reversed with special diet … I wouldn’t even call it a diet, but simply eating healthy – less sugar, less fat, no cola, grease or junk food. Hard to do, I know! The cravings will disappear. Fat and sugar have bad feedback loops where the more you have, the more you crave.

      Take care! With lifestyle changes, you’ll be fine.

  • sriram says:

    Hello sir……
    My dad aged 58 is alcoholic. He is diagnosed with grade 1 fatty liver. Somehow he reduced the consuption of alcohol but he is not completely cutting it off…….since 1st Jan 2014 until now i.e over a period of 6 months he has consumed alcohol 5 times…… He experiences giddiness for 2-3 seconds and recovers immediately……..please suggest me what to do and i would also like to know of what severity is grade 1 fatty liver

    • Greg says:

      Grade 1 is the lowest grade, so it is definitely treatable. The problem is that it sounds like the temptation of alcohol is stronger than the knowledge that his liver has been damaged. The hardest part is always lifestyle changes, but it must be done to stay healthy. I wish you and your dad the best of luck!

  • Bala says:

    I need help am from India ,my symptoms suddenly one day left side middle part of hip heavy pain so will go to doctor some Scan and finally doctor says not serious only fatty liver. So I will take medicine two months I taken medicine but no development and one more additional problem also starting bap will continuously come and some time stop on the centre chest this my problem so plz give the solution. Am not drinking and not smoking but am fatty person my age 28.

  • Nay says:

    I have just been diagnosed with fatty liver problem

    I am also suffering from a very severe chronic diarrhea .doctor has recommended me taking Lovaza.
    Do you think fatty liver causes diarrhea?if yes then would Lavaza help with diarrhea as well as fatty liver and my side pain.
    Thank you in advance.

    • Greg says:

      It’s not one of the usual symptoms, but it could be. See if you could get an appointment with a heptologist. I checked, and Lovaza is a fish oil supplement, which is supposed to help decrease the liver’s production of triglycerides … but I have to wonder why you couldn’t just take omega-3 fish or krill oil supplements and cut out “Big Pharma”? I’m not a doctor, so it could have other benefits. Just note that it’s not a “miracle pill” – you have to help your liver too with moderate exercise and eating healthy.

  • Niki says:

    I am having stage 3 Fatty Liver, pls advise what food i should eat to reduce the weight

  • mystery man says:

    it really has helped me

  • Alex says:


    I had an ultrasound which showed I have an enlarged liver with advanced fatty filltration I’m going to the doctors within the week but iam am terrified that I no longer have nafld but nash (because I thinks it’s irreversible) what do you think the possibility of me having nash is

    • Greg says:

      The liver is a very powerful organ and can take a lot of damage. Even if you have nash, it can still be partially reversed. Switch your lifestyle and diet right now, but don’t go on a crash diet, that will make it worse.

      • Alex says:

        Thanks I also wanted to know can a liver become enlarged just due to fat deposits or does enlargement mean nash

  • Prashant says:

    Hi Greg,

    I am 32 yrs old Indian working as Information technology professional. My job is mostly to do with sitting 8hrs in front of monitor and physical efforts are very light.

    I have type 2 diabetes since last 5 years. First 2.5 yrs I ignored my diabetic condition assuming medicines were doing their job. I was also in state of shock due to personal issues as well as discovering I was a diabetic at an early age and just wanted to enjoy my life. I consulted a good diabetologist later and got sugar under control with changes in medications and exercise. My recent HbA1c level is 7. I have grade-1 fatty lever (here in India we have grades starting from 1 to 3). I drink almost 4 times a month (~once in a week). I am a moderate drinker and also quit smoking 6 years ago. Fortunately I wasn’t a heavy smoker in early years.

    Looking at my medical history, do you think my diabetes could have caused fatty lever? Is fatty lever common across diabetic patients?

    What are the best ways to control fatty lever in diabetes? Can a diabetic person keep off the fatty lever for rest of his life? If yes, please suggest the ways. If you could suggest specific home-made juices and certain exercises, it would really help!

    Have a good day…!! 🙂


    • Greg says:

      You’re so young! Yes, there is more and more evidence that diabetes and fatty liver are connected, since the liver plays a large role in regulating blood sugar levels. There’s no specific exercises targeting only the liver. It’s a whole body approach to your health, and lifestyle changes. You are going to have to completely cut out drinking, as alcohol puts undue stress on your liver. Reduce carbs, eat lighter meals and lots of fresh (not dried) fruits and vegetables – the same advice as for a diabetic diet. During the day, try to go for walks on your breaks, and walk during the evening. Good luck!

  • Dave says:


    I just got diagnosed with NAFLD. I have had nausea and right quadrant abdominal pain off and on since December 2013. Took this long to get into see a gastro around here. I am not obese by any means. I am 5’11” and I weigh about 193 pounds. I still have to lose some but I thought I ate well. Guess not. One thing I did do a lot of was drink powdered gatorade and I ate quite a bit of ice cream. But since I was active I thought I was fine. I stopped working out and cycling last year. I also have hypothyroidism. My gastro just said I have this disease and I need to change my diet. He didn’t go into any detail. The pain is still present and I am worried Ive done serious damage to my liver already. I had a ultrasound this past Friday. I was told about it today. Any advice for me just starting out and coping with this?

    • Greg says:

      First, don’t panic. It’s actually quite a common condition, and a change in diet is usually all it takes to help it heal. However, definitely check about your thyroid, because the two are connected as well. Also see if you can consult a hepatologist, who specializes in liver disorders.

      • Dave says:

        One month later and I am down to 181 pounds. I drastically altered my diet but on occasion I have some carb smart Breyers ice cream and an atkins candy bar. Otherwise I am on a low carb, low sugar, high protein diet. I also take a milk thistle/dandelion supplement I bought from my local health food store (Sunnewald). I went two weeks with no pain and no nausea but this past week it came back. Nowhere near as bad as April and May but I am concerned that it is getting worse even with these changes. Is this pain still a normal occurrence during the healing process?

  • Michelle says:

    Hi Greg,

    I am a 47 yr old female 5’7″ and 165 lbs. I found out after having two babies back-to-back 13 years ago I had a bad gallbladder stones logged in the biliary tree, they were removed. I opted to wait to have it removed as I was 40 lbs over weight and wanted to get my diet back on track and had two in diapers. I changed my diet and have not had any issues with my gallbladder. Over the years I have gradually put the weight back on.

    I had a bad case of the flu January 2014, and the week after had noticed I lost weight (my clothes were baggy 🙂 I was feeling very tired one month after, also itchy skin usually at night and no rashes. I went to my doctor had blood, urine, thyroid, ECG, all done only thing that came up abnormal was a high level of creatinine in my urine. Doctor had me re-take blood and urine for kidneys, all tests came back normal. A few weeks later my gallbladder started acting up again, drove my self to the ER due to the pain. Pain passed (gallbladder attack) Had ultrasound of my abdomen and results stated Pancreas, Aorta, Kidneys, Spleen unremarkable. Muliple gallstones, but no sonographic evidence to suggest cholecystitis. CBD measures maximally 7mm and does not appear dilated. Fatty liver, with areas of focal sparing about the gallbladder fossa. I met with my family Doctor and she didn’t say anything about the fatty liver to me. I have a dull pain on my right side liver area. I have changed my diet I do not drink alcohol, however was consuming a lot of pop. I have replaced the pop with water. Itchy skin is not as bad usually behind my knees, creases of elbows, torso. Could my fatty liver have something to do with my gallbladder? I’m seeing a surgeon to discuss having it removed but I don’t want to have it removed until I’m feeling better. Not as tired but still have days…


    • Greg says:

      Hello Michelle,

      Everything is interrelated, and it certainly sounds like problems with your gallbladder is causing problems with your liver (likely thorough inflammation and blockages in your biliary tract, but I’m not a doctor, and I never had gallbladder problems.) Find out if you can see a heptologist, who is a specialist in liver disorders.

  • i have had many tests, including a lot of blood work and yesterday an extensive MRI. still uncertain as to the results, I have had two high liver enzymes test?

  • Veera says:

    I have fatty liver problem. And i am getting pain on the right upper side of abdomen. When i met few doctors they said no problem and take a proper diet….But i am 5.4 feet hight with 54 KGs of wait…though i am under wait but i am still getting pain. also I started excercizes and the triner told me to take eggs.

    can i eat eggs with yello ?.
    Can i take Chiken once in a month ?

    What should i do to completely resolve my issue..i am bit scaring as i am getting pain.

    Can any one please respond to my comment please..i am feeling really sad now on what to do as i have many responsibilities i have to feed my family..pls help me friends

    • Greg says:

      Yes, you can eat eggs and chicken. Both are also sources of choline, which the liver needs. Avoid greasy foods, fast food, processed junk food, soda pop and alcohol. I’m assuming you also had tests done to rule out hepatitis?

  • Lorraine says:

    Hi there about 2 months ago I got blood took and my doc said my iron was too high,my cholesterol is high and I had to take folic acid cause that was low, she said she thinks I’ve got fatty liver disease.I go for my scan next week I’ve been getting a lot of pain in the bottom right hand corner of my back, but today the pains in the front bottom right of my stomach I don’t smoke don’t drink but I am overweight. Can u give me some advice please.

    • Greg says:

      High iron in your blood can damage your liver, so make sure you pay attention to this with your doctor. On your next checkup, talk about your diet. Weight is definitely an issue. A general rule of thumb is to gradually lose around 10% of your body weight to take pressure off your liver. Good luck!

  • Farah says:

    Hi I just had blood tests and my liver function came back flagged. The doctor said usually people have 35 of a certain enzyme but I have 50. I am 22 and weigh just over 67kg and I’m 5ft3. I have alot if weight around my stomach area. I’m quite worried about not being able to reverse fatty liver. My diet can be quite poor at times but since being told I have fatty liver I have started drinking only water and trying to get my 5 fruit and veg a day. I am also trying to limit myself to the amount of junk I eat. What can I do to help myself? Many thanks 🙂

    • Greg says:

      You’re doing everything right! You have to lose weight gradually, over a few months. Don’t go on a crash diet (which isn’t sustainable anyway). Your condition is definitely reversible, but once you’re healthy, you have to stay healthy, or you could damage your liver again. So, you’ll need to completely change your mindset and lifestyle. Make exercise part of your normal routine – even if it’s just a daily walk. Find an active hobby like joining a sports team, cut out fast food restaurants, and find time to make your own meals. I myself had to do all this too – I used to eat processed food, tv dinners, and McDonalds all the time. I now completely avoid the prepackaged food section and snack aisle, and I learned how to cook properly. Everything for me is low sodium, low processed sugar, and lots of veggies and fruit. I replaced soda pop with soda water topped with a bit of juice.

      It will definitely be difficult, and you’ll backslide a bit, but trust me, your body will start to get used to your new, healthy diet. Just like smoking, your body gets addicted to junk food and greasy fat. Make sure when you go shopping you are full, and it’ll be less tempting to grab that chocolate bar or bag of chips. This will be the rest of your life, so enjoy it!

  • mark says:

    Ive just had test due to blood in my urine, I had blood tests ultra sound and xrays. When I went back my doctor said you have a fatty liver. ( did say how bad it was) just said to me diet and exercise. But my question is ive just got a sinus infection and my urine has gone dark again do I need to go back to the doctors or is this normal.
    Many thanks

    • Greg says:

      Yes, dark urine is a symptom of liver problems. I haven’t heard of sinus infections being a factor, though, so that is probably unrelated. It’ll take a few months to recover, so moderate exercise, a special diet (basically nothing greasy, low fat and low sugar) and gradual weight loss. Good luck, it sounds like an early stage that can be reversed.

  • Bridget says:

    I have NASH, Diabetic Type 2, Hypothyroidism, Hashimito’s and High Blood Pressure. I am having a lot of pain in the upper right quadrant going around to the back and upper shoulder blade. I’ve had all gall bladder test(ultrasound, Hida, ct scan and EGD) all showing normal but I am in pain 24/7. Do you think NASH could be the problem? What do you suggest for pain? My liver enzymes were good on my cbc!

    • Greg says:

      Bridget, so sorry to hear. I would concentrate on lifestyle improvements to reduce symptoms. So, in your case, liver problems and diabetes could be interlinked, and a special diet, moderate exercise and gradual weight loss (about 10% of your body weight over a few months) would really help. High blood pressure has been linked to thyroid disorders, so work closely with your doctor on a correct dosage. Ask your doctor about pain relief, as acetaminophen is slightly toxic to the liver.

  • Richa says:

    hello sir,
    I am 23 years old and have fatty liver grade 2 & my weight is 42 kg. which still same from last several years. i didnt loss my weight. sometimes i feel pain at right & middle side of upper abdomen & fever bt my body temperature remains normal when i take temperature. doctor told me to avoid junk food & oily food. will you please tell me how much time it will take to diagnose completely & can i take milk & fruits in my diet? please help! i am worried.

    • Greg says:

      Yes, avoid junk food, excess salt and sugar, and especially soft drinks. Yes, you can have milk and fruit – the sugar in fruit is a natural kind that isn’t harmful to you. Most sugar in junk food is high fructose corn syrup, which is very bad, so avoid those. The time it takes to recover depends on the state of your condition – your doctor should be able to tell you that.

  • Donna says:

    I have read in most articles the importance of losing weight slowly for fatty liver disease, most state losing weight too fast can make it worse. Could you please explain the reason it could make it worse? Thank you!

    • Greg says:

      Yes, if you lose weight too quickly, your liver will think you are starving, and actually produce MORE fatty acids to make up for this, worsening your condition.

  • sabrina says:

    I had gone to the doctors and had a blood test on January 2014 a month after having my baby and everything came back good except that i was just a bit low on iron. Now for 2 weeks i had just a slight mild pain in upper right quadrant i have been exercising everyday so i thought it was due to pains of exercising bit decided to still get checked at the doctors. Now 6 weeks after my first blood test my test last week came back with Ast 44 and alt 78. So my doctor sent me for an ultrasound which came back that i had a fatty liver. Not sure what stage this would be but im scared and have been panicking not sure how this could happen i have been losing weight and changed my entire diet. My doctor isa sending me for another test to follow up in a month. Can this really be reversed? Also my doctor is sending me for a GGT not sure that that is for. Please help me understand whats going on.

    • Greg says:

      Yes, fatty liver is reversible, so you’re okay 🙂 I have heard of fatty liver during pregnancy, so I did some research for you and found out it’s common – check out this baby message board here where some new moms have had the same condition as you. One Mom said to eat lots of fruit and veggies, and drink lots of water. A GGT is just another test to rule out any other diseases of the liver. Hope all is well, and give your baby lots of cuddles! (Our grandkids are too old for that now.)

      • Sabrina says:

        Hi just wanted to update on my fatty liver. My doctor sent me for another test and I went to see her yesterday for a follow up all my tests and GGT test came back normal. I am so happy lifestyle changes really do work. I lost 28 lbs and I feel as if I have so much more energy everyday. The pains in my upper right quadrant are gone and the nausea feelings are gone. Thank you so much. Changing what you eat and exercising really does help and reverse things.

        • Greg says:

          Fantastic, Sabrina, thanks for the update! I love hearing these stories, and it really encourages my readers as well.

  • Aman says:

    Hope you are doing great. I just went through this page, found its very helpful and usable.
    Hence, let me thank you first for your all replies.

    Since last couple of years I am having some small pain or uneasiness on the right upper side of abdomen.
    But that haven’t made/effected any problem on my daily life. I visited many Dr. but no one gave me any concrete advice on this problem, and all had a same reply after doing some USG and Blood Test, that ” NOTHING IS THERE TO BE WORRIED, JUST SIMPLE TRY TO AVOID RED MEAT AND FAT” .

    Last week during a Medical Checkup for a Immigration purpose I am said that, my Liver is enlarged. Although after giving a medicine for two days again they did my test and certified me as FIT. Also they adviced me for a LFT ( Lever Functional Test) and have a visit to a Specialist Medicine Dr.

    Edit: report removed for privacy before being published

    After getting this report I consulted with an MD, and he too prescribed me nothing except doing control on my food intake and advise me to do regular exercise.

    My kind request you, having a look at the the above said parameters, what should I do?? I am in a profession , which needs an extensive travel through out the world.

    With Kind regards

    • Greg says:

      Hello Aman,

      Your results (which I deleted before publishing) are in the upper level but still normal, so you’re still quite healthy … better than mine was! Since your occupation involves lots of traveling, I would make sure to find some time to use your hotel’s gym facilities when on the road. Make sure you also vary your diet, as most restaurant foods are very high in fat, sugar and salt.

      • Aman says:

        Hello Mr. Greg.
        Thanx a lot for the reply.

        However I would also like you to request, please guide me about the daily diet, what should I take daily. Or which will be helpful diet for me to reduce the fat?

        Please note, I am a non – drinker and had an occasional smoke. Since last couple of months I have left it completely.


  • Amit says:

    These symtomps started recently a week back. I was diagonsed with grade 2 fatty liver 2yrs ago. Bit couldnt make changes due to my busy schedule

  • Amit says:

    I have liver enlarged in size 17cm with grade 2-3 echotexure -non alcoholic fatty liver, dull pain in upper right quadrant, gas, nausea and at times pain in shoulder blade. My liver profile test was normal. I am bordering obese. I would like to ask:
    1. How serious is the stage and is it reversible with life style changes.
    2. Now i avoid eating out and try eating healthy but being super busy i hardly exercise and do end up eating once a week or twice.apart from climbing 10-12 flight of stairs. I have been advised to take udiliv tablet. Are these helpful in reversing. Also should i start with tonics like livosin or liv 52? Would they be helpful at this stage.

    • Greg says:

      Hello Amit – yes, it is reversible with proper diet and lifestyle changes. I like how you are climbing flights of stairs, so I applaud you on thinking of creative ways to get your exercise. It’s often difficult to find time to exercise with a busy schedule. What I still do is park at the farthest part of the parkinglot to the store, so I am forced to do more walking to get there.

      I was never given any medication for my condition, as the best cure is no alcohol, proper diet and exercise to get your weight down and take stress off of your liver. For extra supplements, I have an article here. Take care of yourself!

  • Courtney says:

    Hey I’m 18 and have mild fatty liver and finding it not hard to stay away from bad foods just having an issue emotionally it’s so hard to come to terms with with out much help..
    need help please?!?!?

    • Greg says:

      18 is so young, Courtney. Luckily, it is reversible. The liver is a very hardy organ. Stay active, join a community sports team, do what it takes to stay fit.

  • Mary says:

    Recent research on NAFLD has been done at the University of Malaysia in which subjects with fatty liver disease were given 200 mg tocotrienols twice a day for a year. (Tocotrienols are a type of Vitamin E from palm oil and should not be taken at the same time of day as regular Vitamin E or tocopherols.) 50% of the subjects who took the tocotrienols had a complete remission after a year, while the control group had a much lower percentage of remission — the article I read did not say what the lower percentage was. In another study of 64 subjects, two-thirds of the subjects given tocotrienols (20 out of 30) showed improvement, with 15 of the 30 showing complete remission. Tocotrienols have also been shown to reduce the oxidation of LDL and to lower total cholesterol. Unfortunately, tocotrienols are not found in most foods in quantities abundant enough to make much difference for NAFLD sufferers. Supplements would have to be taken. You can google “tocotrienols” to get more information.

  • Julie says:

    I have been getting atopic skin rashes for several years. This past year has been expecially diffacult. The rashes seem to be triggered when I exercise. My dematologist said my body over heats and can not cool itself down. I’ve been on prednisone 5 times and really don’t want to go that route any longer. recentlly I had a kidney stone, on the ct scan it showed I have a fatty live. I’m wondering if that could be the cause of my rashes? It also showed that I have gallbladder stones, but have not had any symptoms.

    • Greg says:

      Yes, I would get your liver checked out, and blood tests for other complications, such as diabetes. A malfunctioning liver causes a host of problems, including rashes and gallbladder problems. Good luck!

  • Kim says:

    Hi Greg.

    This is great work you are doing to help people.

    I was diagnosed with fatty liver 2 years ago.
    I am taking moderate alcohol twice a month (2-4 brown beers per sitting)

    Iam 40 years old. My weight is 79kgs. 5.6 feet. My BMI is slightly high at 25. My total Cholesteral is way high at 8.8 but the LDL/HDL is Ok. The high cholesteral runs in my family but non has ever had stroke or heart related problems ever and we are a big family of 9 children.

    I am the last born at 40 years of age today.
    My mum 81 years and my sister 51years all have this high choresterol of 8.

    My doctor put me on statins and they gave me terrible side effects like trembling, nerve issues and low bp and feeling like passing out. It was tragic.

    I had to see a heart specialist who did specialized echo cardiogram and traedmill test and said my heart and arteries is 101% good and said my LDL/HDL ratio is OK and put me off statins completely. After stopping statins and all the Side effects stopped immediately.

    Been exercising on and off (its not easy to keep the discipline) Changed my diet too to a fibre rich natural foods and oats in the morning. When I exercise and observe diet I feel good.

    My choresteral never seems to come down significantly though.

    I suffer IBS, acid reflux and bloating and nausea but when I control diet and I do regular exercise I feel better and relieved from all these.

    When I cheat on diet and stop exercise I add a few kgs on my waist line the symptoms of reflux bloating indigestion come back and pains in the liver area.

    I was recommended Liv52 Ayurvedic supplements which doctor said protects the liver

    Am also taking omega 3 supplements and B12.

    My question is
    1) Is liv52 good for liver.?. I dont see you mention it anywhere yet I was made to believe its a popular age old tonic for protecting liver.
    2) How can I bring down my chorestoral levels?
    3) What’s the long term formulae to reverse BMT fatty liver given the high Choresterol Levels

    Kind Regards

    • Greg says:

      Somebody told me great things about it after I got healthy again, so I haven’t tried it myself. I did some research, and it sounds quite good. There has also been a clinical study confirming its efficacy (http://www.ncbi.nlm.nih.gov/pubmed/16194047) – the only warnings I got is to make sure you get it from a good source, as there’s some American companies that get it from India, repackage stale ingredients and sell it for three times the price.

      Long term formula to keep your liver healthy is to, of course, keep up with your new lifestyle! Daily exercise (even if it’s just a half hour walk), a balanced diet of lean meats, lots of fruits and vegetables and fish. No more processed food, fast food, alcohol, or foods high in sugar and salt. Trust me, if you eat well, you will feel a million times better after a few months.

  • Joe says:

    Hi I Have come across your website before and noticed you are recommending the above product ,I bought a similar guide called the Ezra protcol by Debra Elkin, Still not quite sure if this is just good Marketing as getting conflicting views?

    I also have been diagnosed with fatty liver approx 5 years now I am 50 years Old Male and have been to see a specialist Hepatologist consulton in the Uk, at the early stage and told that 3 quarters of my liver is covered in fat but have no scaring and I need to change my diet , which I have done , ie eat fish three times a week , use flaxseeds, Walnuts, Activia Yogurts, plenty of Veg fruit and exercise, But this seems to have reacted and been getting Acid reflux so it seems, acording to my doctor.

    I have never really been over weight ,and have lost 14 pounds in 4 months, weigh 10 stone but still get a pain on the right side. so seems it could go either way for me ?
    My question is why do you promote this fatty live guide are you using this and does it work !

    Thanks for your time.

    • Greg says:

      Hi Joe, I bought both, but liked the simplicity of the Liver Diet guide. Originally, my doctor told me “lose weight and get some exercise” which every doctor tells you, but which most of us either ignore or go “Yeah, I’ll start the day after tomorrow.”

      I thought “Well, should I join a gym? What foods do I cut out? Is there anything else I can do to protect my liver? Why is my liver like this, anyway?” I was basically looking for a guide that showed me why I was unhealthy, and the simple steps to get back to health. Yes, it did work, it gives weekly diet plans and sample menus to follow. Like anything, it’s not a magic pill. All the information in the book you can find out online, in chat forums, and pamphlets from your doctor … it’s just all conveniently collected into a book you can print out and follow. It also inspired me to publish my “Steps to Take” guide on this website so I can help others.

      Find out too what is causing your acid reflux, as it may

  • Alan says:

    hi i am 29 years old 180 cm and 78 kgs and lately i discovered that i have a fructose intolerance (malabsorption) and after cutting all sugars, fruits and some of vegetables, i feel much better. I am very athletic practice basketball everyday but have always suffered from weird symptoms especially after eating fruits or sugary foods such as having yellow face skin and bad nails and skin and fatigue in addition to digestive troubles gerd and fat in stools and much much more. Could it be that the fructose intolerance has caused a fatty liver and damaged other organs. Now i feel better but i find it difficult to replace the lack of vitamins and nutrients found in fruits so i am taking a multivitamin and any time i try to go for a small cheat symptoms get back.. Any advice from your side would be much appreciated and thx in advance.

    • Greg says:

      Fructose shouldn’t cause any organ damage, it would cause digestive troubles. Definitely see your doctor, as it sounds like you do have some liver problems.

  • Julie says:

    I have a fairly unique situation. I suffered a volvulus in 2007 and through surgery, lost 1/3 of my colon and 84% of my small intestine. At the time, the hospital dietician said I should eat as much as possible and the higher calorie content, the better! I found that fried foods and sugar irritates my bowels with the result being diarrhea up to several times per day (no loss to me as I was never one to crave fried foods or too much sugar). However, I do need to take in massive amounts of food just to maintain my current weight. Female, height 5 ft 11″; weight prior to volvulus 150 lbs; current weight about 130 lbs. I currently take B-12 injections every 10 days, cholestyramine 9 grams at bedtime, Immodium (usually 2 per day), and two blood pressure medications. I was recently diagnosed with fatty liver by ultrasound which was done because of elevated Alkaline Phosphatase levels. My GP thinks my liver is fatty because of the number of calories I have to eat; with most of them in the evening once I get home from work, just so I minimize the risk of bowel problems at work. I don’t need to lose any weight! How can I improve on the fatty liver? I’ve (in the past 5 days since I was told of the fatty liver) increased proteins by eating beans and nuts, fish, added an apple a day, veggies every day (which has never been an issue), and limited amounts of lean meat; and reduced my fat intake by mostly eliminating oil, butter, cheeses, sugars, etc. My go-to snack now is low fat cottage cheese or hummus. I’m also trying to spread my meals/snacks more throughout the day. Am I on the right track? I’ve seen an improvement as the diahrrea is minimal – the best it’s been since my volvulus, of course still taking the Imodium, which I plan to continue forever.

  • sameera eranga says:

    my father is fatty liver acid type 2 patient. what are the best food?

    • Greg says:

      I talk a lot about diet on this site – start with my Step 2 article. The Liver Diet guide I recommend goes even more in depth about foods and sample meal plans.

  • Kris says:

    My son was diagnosed with fatty liver a year ago, he is now 15. For about a year before that they thought it was his gallbladder, but now it is working properly. He was about 40 lbs overweight and not very active. Now he works out regularly, plays basketball and is very thin. He can’t afford to loose anymore weight and it’s been that way for a year. He watches his diet especially the sugar intake and drinks only water. But he has recently started eating some baked chips occassionally and has not completely cut out pasta and breads. We do try to buy wheat when possible and as low of fat as possible & he eats apples and a lot of nuts. He has also become lactose intolerant throughtout this so he takes lactose pills before meals. He also takes Milk Thistle, levisin and also Miralax daily otherwise his bowels don’t work properly. The problem is his liver counts aren’t dropping anymore. His AST is 38 & ALT 72. His potassium has been running a little high and now his GGT is little elevated too. In addition his white blood cell counts are low for the first time. He has been seeing a GI doctor at a Children’s Hospital but other than an endoscopy a year ago to determine the fatty liver, nothing has been done. Should we do a liver biopsy or do you think there could be another problem? Or should we just keep doing what he’s doing and see what happens? I was also considering a second GI opinion or maybe a Hepaologist. I’m just worried and confused, he tries so hard.

    • Greg says:

      I would definitely try a hematologist or another specialist. The diet he is on is quiet restrictive, but nothing seems to be improving. Check for IBS and other digestive disorders too. You may also review his diet to see if he’s lacking in some vital nutrients as well. Good luck, he’s so young!

  • David says:

    I was told about a year age that I had a Fatty Liver by my Doctor, I thought nothing of it thinking all well.
    I kick myself in the you know what for not researching this condition and I wish my Doctor would have told me the seriousness of this condition. With that said I also have the pain in my right side with severe right lower back pain. Is this normal? I have had test done for Kidney stones and nothing. I have a CT scan with contras Friday to make sure nothing else is going on there.

    • Greg says:

      That’s the problem with this disease – it sneaks up on you slowly, so it’s hard to change your lifestyle, thinking “Oh, I’ll start tomorrow.” Fortunately, the liver is one of the toughest organs in the body – it has to be, it filters out all the poisons and toxins that enter your body – but years of neglect wear on it. It’s not too late to start.

      • David says:

        Thank you Greg for your comments. I am really hitting this exercising and eating right REALLY HARD!!! I am watching my calorie intake at 1800, eating salads, I just ran 2 miles , it feels great. I do have a question, I have started taking an OTC supplement call Liver Aid, what is your option about Liver supplements and if you could recommend any other supplement? Thanks


  • Sharon says:

    Hello i had my first baby in 2009, in 2010 i was rushed into hospital & had my gall bladder removed due to stones, then the liver bile duct was blocked so they rushed me back in and cleared it… move on to dec 2013 and I have bad pain in my right side, blood test & liver enzymes came back ok, ultrasound showed fatty liver. I used to have a glass of wine a night, but stopped that a week ago and started running again (and that is when the pain showed up) I will take on dietry changes & exercise… is this a fatal condition? how fast does it progress? and is it reversable? should i be worried about the pain? many many thanks

    • Greg says:

      It’s certainly reversible, especially if your liver enzymes came back okay. It’s only fatal if it progresses to late-stage cirrhosis (scaring), and this could take years (though it’s different in every person). The liver has an amazing ability to heal itself if there is no scaring … and even if there is, you can still halt the damage. In yours case, it sounds like it’s completely curable.

      Instead of running, just go for walks – you lose the same amount of calories if you go the same distance … it just takes longer. Yes, cut all alcohol, and cut down on coffee and greasy, fatty foods. Go for vegetables, fruits and lean meat. Lose weight slowly. Proper diet is more important than exercise, so focus on that, especially with your bile duct history.

      Do you have continuous pain? If it comes and goes, it might not be due to your liver, but digestive problems. Make sure you keep seeing your doctor to monitor it, your baby needs you! (I have a granddaughter born in 2009.)

      • Sharon says:

        Hi Greg, after just a week on the diet my pain is almost totally subsided!!! wow!!!! i am still very tired but the pain is gone, thanks for the wonderful help & advice (I have now lost nearly 4kg and that is great too) my second baby born 2011 – this seems to put a lot of stress on my liver?? I did buy some lovely grain wholemeal bread and it made me sick… I am thinking i now have a gluten intolerance – for the first few days i just ate salad – no meat no wheat no bread… when i introduced bread i felt nauseas. Once again thanks a bunch for your wonderful help & I now not as worred about damage (no scarring etc) just keen to keep on this healthy diet. MANY MANY THANKS from Down Under 😀

  • faz says:

    i have been diagnosed with a fatty liver 2 months ago.my liver is abit painful aswell
    i did my back in while i over exercised 2 years ago so i find it difficult to exercise now. can i get rid of the fat on my liver by fasting constantly for 2 months, the fast will start at about 6.30am and finish at 4.00pm. or is there any other way i can lose the fat

    • Greg says:

      I don’t recommend fasting, as it could make your condition worse. Instead, eat a balanced meal as I recommend on this site, and lose weight gradually. For exercise, even just walking a couple times a week helps.

  • Chris says:

    Hi Greg,

    Im 36 years old (male) and had an ultra sound done on my lower abdomen and they noticed that I had moderate to severe fatty cells in my liver. I drink 1-2 times a week but mostly beer and maybe 3 to 4 beers at a time. I’m 5-11″ and weight 210 pounds. I exersice 1 to 2 times a week but my diet is questionable at times (Fast Food est ect.). with lack of fruits and vegtables. I eat lots of pasta, rice and potatoes. Just wanted to know what I can do to reverse the fatty cells and is this something I should be worried about, as Im still fairly young guy? Thanks.

    • Greg says:

      Hello Chris,

      You’re going to have to eat better (everybody says that!), but you do have the beginnings of a health problem. You will have to cut down on the beer … try light or non-alcoholic. Until the 1980’s, doctors thought fatty liver was exclusively caused by alcohol, not what you eat.

      Exercising is definitely good, but shed at least 10% of your body weight. Pasta, rice and potatoes are converted to sugars in your body, which may heighten your risk of diabetes – and there’s evidence that fatty liver and diabetes are linked. So, the first thing I would do is limit the beer, and only drink one at a time – I was a beer drinker, and I found that pouring it into a glass with a meal actually make me drink a lot more slowly, so I could cut it down without craving more. Begin to balance your meals with vegetables. Perhaps halve the pasta and substitute with veggies. Drink more water as well. It’s still early, so you certainly have time to turn things around.

      • Chris says:

        Thanks for your reply Greg. I’ve cut out all the beer now and I’m starting to watch/change what I eat. Im increasing my cardio workouts too. I have just a few questions though. Is olive oil still ok to use when I cook? What about Canola oil? I read that Milk Thistle can really help out with strengthening liver cells. Will it help to get rid of a fatty liver too (is it safe to use)? I also seen that there is an over the counter pill called Livatone and Livatone Plus that is meant to help strengthen and aid in the recovery of a damaged liver. Can you comment on how useful this product is and whether it’s something that I could or should consider taking?

  • Mary says:

    If I have a fatty liver can I cook&bake with wine

  • Nikin says:

    A phone call from the Dr told me that the results from a blood test were as follows,
    No diabetes.
    Normal cholesterol levels.
    Normal Albumin levels
    Bilirubin levels high at 23.
    I’m concerned about this level and wonder whether the Dr is right to wait two months to take another blood test? I have blood carried the Hep B antigens for 30 yrs and know this poses some risks. I have made large changes to my diet in the last four months and eat largely as you describe, have stopped smoking and have reduced my weight by 16Kilos. However my BMI is still high.
    Do you think I should push my Dr for more tests or am I overly worried?
    Thankyou for any advice.

    • Greg says:

      Nope, I wouldn’t worry the level is not dangerously high. Just keep up the new and lifelong routine, and slowly and reasonably reduce your weight.

  • Oxana says:

    Dear Greg, my husband have high SGPT/SGOT/Gamna GT and I’m suggesting he got some liver problem, which we going to find out with Doctor. I was doing research on fatty liver and it brings me to this site. I read all your answers and i just want to say Thank you! It’s amazing there is people like you who doing so much of research and trying to help others!

  • Adam says:

    Hi Greg. I have a fatty liver though, at this time, am unsure as to what stage (my doctor’s visit was just 5 days ago). My doctor has put me on a regimen of folic acid and a multi-vitamin to see if my condition improves within a month’s time. I know full-well that this was brought on by my poor diet and way too much alcohol. Upon learning of my condition, I immediately stopped drinking and changed my diet in order to do what I must to correct this condition (fruit, veggies, whole grain, lean protein and plenty of water). I have also begun to exercise more. I am hopeful that I’ll see improvement since I am 100% committed to the plan, particularly since my energy level has already improved. Do you have any addtional advice or should I just stay the course with my recent changes? Thank you in advance!

    • Greg says:

      Hello Adam,

      That definitely sounds like you’re on the right path. All I would suggest is to lose weight slowly and consistently – no crash dieting, which could make things worse.

  • Jan says:

    I have a pain similar to someone pushing their fingers in to me,its just under my rib cage, right hand side, it comes and goes. I also have a ‘full’ feeling under my ribs when i sit down, i feel light headed and headachy and like pressure is building up in my head and neck. It is relieved when i am lying down or upright. My waist measurement as gone up. I feel tired all the time, have no energy and get disorientated quite often and have a ‘fuzzy’ head most days. I do have heart disease and type 2 diabetes which are both under control. Blood tests and scan for gallstones showed up a slightly fatty liver 2 yrs ago. I had my gallbladder removed and i have been reasonably healthy since. The doctor didnt seem too concerned about my liver at my last health check. I try to eat healthy but recently have let that slip. This article was very informative

  • Ngoc Duong says:

    Hi, Greg, I was diagnosed with fatty liver 1 month ago. Can I use herbal diet pills EZ Slimdia while I’m having a fatty liver to loose some weights?

    • Greg says:

      I’m not familiar with these, but taking a quick look at the ingredients, all looks okay … but I would mention it to your doctor first, just in case.

  • RAMESH says:

    My dr. suggest for me HBsAG and Anti HCV test, can I do it?

  • Sid Gohil says:

    Hi Greg,

    I am a 35 years old Male, I have been recently diagnosed with Fatty Liver during an Ultrasound for back pain around lower back as I thought it was due to a kidney stone. They found out that there was no kidney stone and it was realised that it was the fatty liver, they also saw a cyst like lesion on my liver.

    Then I was referred for CT scan and the reports came back with saying that I have got Liver Hemangioma and doctors are saying that I don’t need treatment, but I have been having a stabbing pain every now and then which is making me very uncomfortable, when I asked the Doctor about what I can do about the fatty liver he said as there is no medicine for it that can only be reversed by changing my life style.

    I am 173cm and weighing 85.5 Kgs, BMI is slightly over 25, I don’t smoke, I used to drink moderately but I have stopped drinking altogether after learning about my liver.

    Even without knowing about my liver I was a bit health conscious and had control on what I was drinking and eating but so far I have been unable to reduce any weight, its been there for last 3-4 years.

    After reading some of the questions, I learnt that there is a grade the fatty liver is diagnosed with, I haven’t been told about it though, but I don’t have any other sysmptoms apart from the ocassional pain, also I have problem with Acid Reflux, only sometimes I feel very full after meal, I don’t vomit at all ( no nausea at all), I don’t have any swellings in any part of the body, I dont feel tired, my whites in the body are not yellowish.

    Can you please let me know if my liver is too damaged from the above symptoms?

    I will surely refer to your book and will folllow it to reverse the fatty liver condition. Please let me know if I should be too concerned as I think the pain has increased only after they let me know about it, could anxiety lead to more pain?

    Many Thanks in Advance,

    and a Liver Hemangioma. Initially I I have had Ultrasound

    • Greg says:

      Here in the US, there really isn’t a grade to fatty liver (or at least I wasn’t told it), but a worsening condition turn it to NASH (dangerous inflammation) to cirrhosis (permanent scaring of the liver). Even if you have cirrhosis, your liver can still function well, though you definitely have to live a more strict lifestyle of proper diet, moderate exercise and no alcohol. Your symptoms are likely caused by your hemangioma – for some, there’s symptoms, for others, there’s none. And yes, anxiety leads to more pain, since you’re focusing on it too much!

      If your doctor says you don’t need treatment, then you are still in the early stage (and you say you have no swelling or jaundice). Your BMI is borderline, so I would suggest keeping up with daily exercise, avoid fatty and greasy foods, and no alcohol. If you can’t lose weight, it’s because you are eating exactly what you burn in a day. Don’t try a crash diet (it will harm your liver and it doesn’t work in the long run anyway) but just try to gradually cut down your portion sizes. Eat less carbohydrates, more lean protein, and more whole grains so you feel more full. I have sample foods you can research on this site, and the liver diet guide has sample meal plans.

  • Amber Hamm says:

    my husband seen a pill on dr oz… Garcia Cambodia idk
    If I spelled it right. But its supposed to help with sugar and liver and all kinds of other things in your body would you recommend it

    • Greg says:

      If you have liver problems, I wouldn’t recommend it. The liver has to process everything you ingest, and garcinia cambodia hasn’t been studied enough to see what the long-term effects are. Though losing weight is a key to reversing fatty liver disease, I recommend moderate exercise and a change in your diet over supplements.

  • Bhanu says:

    Hi Greg,

    My weight is 91 kilos iam suffering with fatty liver.Iam Non alcoholic and non smoker.

    But iam suffering with fatty liver problem for past 8 months my doctor gave me few meds .

    Every thing is fine with my blood samples .So what are the different types of foods i need to take in my

    daily life to avoid furthur more damage to my liver.

  • Mark says:

    Hi Greg.I have read your advises here and those are use full.I was diagnosed with fatty liver 6- 7 months ago .But I didn’t start any exercise since then I suddenly realized importance of exercise and diet after reading few online forums/websites .so,Last month ,I have started exercise and diet with raw food and fruits all at same time .So ,for 2 weeks I have done gym everyday around 40 minutes with out fail n raw food /fruits .It is amazing I lost 6 to 7 kilos .my tummy felt really good but I had some constipation though.Any way ,apart from that I felt the pain in the back increased .I am not sure why .Did sudden exercise caused any issue to liver .?I played badminton on those 2 weeks (twice in 2weeks).I am bit worried whether lot of movement in body will cause more stress on liver as I read some readings online and they advised to start small exercise . But I came to notice this advise after 2weeks I started exercise.other thing is ,my vitamin was very low .it showed up negative when I was diagnosed .doctor told me I got d vitamin diffeciency and gave me supplements …so ,I am not sure back pain is result of badminton n low d vitamin or liver …This pain started after I started playing badminton .It is paining when I stand like cooking in kitchen .it pains at right side near the side shoulder blade .But it goes away as soon I sit or lie on the bed .I feel like it is muscle strain n pain than liver but please advise me ..

    • Greg says:

      It sounds like you just stretched a muscle, as fatty liver (if moderate) doesn’t cause many symptoms – mainly lethargy and dull pains in the abdomen (that’s what I had). If you haven’t used certain muscles in a few years, sports such as badminton can definitely cause some aches and pains. One thing I noticed, though, was that vitamin D levels can be low if your liver is quite damaged and can’t process it properly. But if that was the case, you’d have a lot worse symptoms, so the deficiency is likely caused by other factors – if you don’t go outdoors a lot, if you live in the far north, you have dark skin or you don’t eat much fish … a raw food diet is extremely healthy, but it doesn’t provide for much iron, vitamin B12 and vitamin D.

      It sounds like you’re definitely on the right path, so keep it up, but take vitamin supplements and do check in with your doctor and dietician to make sure everything is healing well. Take care!

  • Randy McFarland says:

    I have recently been diagnosed with fatty liver through an ultrasound test. I had the ultrasound because in my last checkup my bilirubin level was elevated to 3.2. I am 67 and in otherwise perfect health. I am not overweight, I do not drink or smoke and I run 20 miles a week. Should I be concerned?

    • Greg says:

      That’s not horribly high, so I wouldn’t be too concerned. I would go for further tests however – fatty liver is also caused by various diseases like hepatitis (which can lie dormant for years or even decades). Try milk thistle supplements in the meantime – it’s a traditional herb for liver health, though studies are mixed. Good luck and best of health!

  • Chris McCaskill says:

    I’m in the heart of Mexico (guanajuato State–San Miguel de Allende) and my friend who speaks only Spanish has non-alcoholic fatty liver disease. Her husband speaks fluent English. They have been appreciative of me finding information such as the information above, but I am a medical social worker (who speaks mostly only English) so I am limited. My sense is that she is very intelligent and would follow any instructions but might truly be living with only the diagnosis and not necessarily instructions as to what to do. I am showing her husband all of this information and he interprets. She now has raw vegetable drinks every day.

    But I have no place to go to get information.

    For example, is she a candidate for milk thistle?

    Is there any group anywhere in our region I might work with?

    • Greg says:

      Hello Chris. Unfortunately, I can’t help you with finding information in Mexico, but the first step is look for information at your local hospital. You said she is thin, so there may be something other than diet as the cause, as non-alcoholic fatty liver disease is mainly due to a so-called “Western lifestyle” of too much fast food, inactivity and diabetes. Other causes could be certain medications like methotrexate and tamoxifen, high doses of Tylenol, viral hepatitis, Wilson’s disease, or even rapid weight loss. Raw vegetable drinks is great, but as part of a balanced diet.

      Include eggs as well, as some studies may link liver problems to a lack of choline in the diet. Egg yolks has the greatest amount of this mineral, and it can also be found in chicken, turkey and green leafy vegetables like collard greens and swiss chard.

      Herbs such as milk thistle are safe, and you drink it as a tea. It has a flavonoid called silymarin that may help repair damaged liver cells (there’s mixed studies on whether it’s effective). Otherwise, I would definitely check first with some medical tests to see why she is ill. I wish you well!

  • She says:

    I have been recently diagnosed with mild diffuse fatty liver changes, what is this, what should I do? And they seen at least two cholecystolithiases measuring 0.4 and 0.5 cm.

    • Greg says:

      It sounds like you’re at the beginning of some potential problems. Small gallstones and the start of a fatty liver. Fortunately (if there are no other problems) you can reverse the damage. Read through this site and the book for dietary suggestions (both for your gallbladder and to reduce the fat in your liver), and lead a more active lifestyle. Don’t go on any crash diets, which could hurt your liver more. A liver-friendly diet is also good for your gallbladder, since you’re trying to minimize fats and grease that are part of the typical fast-food diet.

  • Sanjay Singh says:

    In the beginning of 2007 I had first experience of upper right abdominal pain. I went to many doctors but couldn’t get concrete solution. Past one year now I am having this pain again with pain at right upper shoulder blade. I am a moderate drinker. Last month I went to doctor.I had CECT, which says liver is enlarged in size with reduced density, Intra-hepatic biliary redicals are not dilated with patent confluence. My Liver function Test results are within range and OK. I am taking medicine for Hypothyroid. The pain is unbearable. Still doctors are unable to diagnose root cause & give concrete advise. Kindly advise what to do?

    • Greg says:

      I am not a doctor, but a lot of the root causes of liver problems does have to do with diet, so I would start there. Stop drinking as well, as it only makes your liver work harder to filter the alcohol. Research the side effects of your thyroid medication too, just to rule that out. Also see about a liver biopsy to determine a prognosis (such as hepatitis). Good luck!

  • Avishek says:

    Dear Greg,

    My USG report says ‘moderate diffuse of hepatic streatosis.no focal lesion’. Doctor says its Fatty Liver. But how do I know if it is Alcoholic or non alcoholic?

    • Greg says:

      Alcoholic and non alcoholic are the same disease – the only difference is that the non-alcholic version has been caused by other factors (up until the 1980’s, doctors thought all fatty liver disease was caused by alcohol). Treatment is the same. To be on the safe side, stop drinking all alcohol now while following a liver-friendly diet.

      • Avishek says:

        Dear Greg,

        I never understood I have faty liver unless USG report said so. Still now I never felt any pain or discomfort other than loose motion.

        Is it normal in liver problem? I am taking food suppliments and couple of medicines.

  • Karen says:

    I have gastroparesis, fatty liver and diabetes.what should i do?

    • Greg says:

      Gastroparesis is incurable can be caused by diabetes (I did some research and it says this on the Mayo Clinic website), and fatty liver and diabetes are increasingly being seen as interlinked. The best thing to do is talk to your doctor or a dietician to manage all three – smaller meals, cooked fruits and vegetables, low-fat foods, soups and pureed food, lots of water, and gentle exercise after a meal. Fortunately, this diet is also great to help control fatty liver. Good luck and best of health!

  • Zia says:

    Just recently I felt fain in my kidney after complete abdominal scan doctor told me that beside small stones in your kidney nominal fatty changes have also been observed ,further he advised me to increase my physical activities to cover this problem.
    Before that due to Sprain injury and kidney stones I was taking pain killer regularly with antibiotic ,Now I don,t know that what type of liver problem I have I did my liver function test with 65 ALT ,220 Alkaline phosphate and 0.8 Bilobroben .
    I have stopped eating baked and junk food also I am taking multi vitamins .
    Kindly tell me what else treatment should I take and how I will know that what type of problem I have ,Before this diagnose I felt now problem at all

    • Greg says:

      What you are doing is right, so keep it up. Certain medications also harm the liver, so make sure your doctor knows what you have been taking. A fatty liver is reversible with special diet and exercise to lose excess pounds. I would also look into some liver-friendly herbs that will help things out, such as milk thistle and dandelion root. Keep monitoring your health and diet with your doctor, who will know exactly the condition of your health.

  • Julie says:

    Hello Greg

    I also have a fatty liver. I have a fairly normal diet, with lots of fresh fruit & veg and drink about 2 litres of water a day. My alcohol intake is almost non existent and I am a non smoker. I am 157cm. and weigh 116kg (which has been quite rapid) – I have a moderate exercise regime. My Dr. tells me that I am high end stage of the disease. Since being treated for Breast Cancer in 2001, I now have a non functional thyroid gland, for which I am on medication and also on Cholesterol medication as well. Except for the weight gain I am keeping well. I am 55 yrs of age. My question is would I benefit from following the fatty liver diet/liver cleansing program? What other foods should I add/delete from my diet?.

    • Greg says:

      Hi Julie,

      It sounds like you’re living as healthy a life as you can, so the disease is likely caused by other complications, such as hypothyroidism. I would definitely seek out more medical attention, perhaps even a hepatologist (usually referred by your doctor) who can figure out what can be done. Good luck!

  • shabeel says:

    thank u sir.. may god bless you

  • shabeel says:

    for my mom, age 52 weights 100, she started experiencing pain right upper part of the abdomen and swelling on her legso we consulted a homeopathic doctor. . doctor asked to take a scan.. in the scaning report it is said that my mom is having fatty liver grade 1.. so homeopathic doctor has given some medicines and to take control on fried food…

    I want to know is that. . which medication is good or better.. homeopathy or allopathy?

    • Greg says:

      There isn’t (yet) medication to help fatty liver disease – it’s usually caused by lifestyle factors, hepatitis or adverse drug reactions. Since your Mom isn’t overweight, you have to look at other reasons. Diabetes is increasingly being seen as a major factor, so find out about this … especially if your Mom is on a gluten-free diet, as gluten is often replaced with sugar in foods. Otherwise, definitely avoid fried foods, alcohol, simple carbs (ie white bread and pasta) and fatty foods. Look for homeopathic herbs that I discuss here. Good luck!

  • sikandar says:

    Thank you very very much I pray for you

  • Diana says:

    I have recently been diagnosed with a fatty liver. My oncology specialist says that it is a complication of the chemo drugs that I have been given for breast cancer. During treatment I also gained 16kilos over six months. I have managed to loose 3kilo since ceasing treatment three months ago. I have also resumed regular exercise and healthy diet. My dr told me to become a health fanatic. My weight loss is very slow and a recent biopsy has shown that my liver is still very fatty. How long will it take for my liver to recover so that I can loose weight as my dr says my slow weight loss is due to my fatty liver?

    • Greg says:

      I haven’t actually heard that a fatty liver prevents you from losing weight faster, so I can’t give you a time frame – but you do have to eat a certain diet. Cut way back on the carbs, and increase your vegetables – lots of leafy greens, beets and carrots – try juicing them as your morning breakfast (I have an Omega 8006 – it juices slow, so it doesn’t destroy the nutrients that fast juicers often do).

      Also increase your intake of omega 3’s (flax seed and cold water fish is really good.) Try herbs as a tea such as milk thistle or dandelion root – these are all really good for the liver. You can find a list of liver-healing herbs and foods here. Good luck. You sound like a survivor!

      • Alemu says:

        I am a patient of diabetes, kid deny stones, gallbladder stones and fatty liver. In one month I loses 9 kg What shall better. What kind of diets you recommends

        • Greg says:

          I would slow down on the weight loss, it could actually worsen your condition. The diet I recommend on this site is the best … it is high in fiber, vegetables and fruits, and low in fat and grease. Lose weight gradually. No crash diets. Cut down on all alcohol, most coffee and replace with water and tea. There’s now lots of evidence of a link between diabetes and a fatty liver, so you have to get diabetes under control first. Good luck!

          • Maya says:

            Hi Greg, 1 year ago I had surgery, gallbladder removed, after I gained weight, +- 15 kg, now I have terrible pain in my right side, around the liver, which test I need? And if I can do anything myself without going to the doctor? Can I clean my liver myself? And what about turmeric ? Thank you

          • Greg says:

            You sure can begin the process of getting your liver healthier overall, but the pain is concerning, so see your doc anyway, okay? In the meantime, have you downloaded our free ebook? It can get you started on what to eat and yes, turmeric is wonderful for liver cleansing.

  • Chin says:

    Hi… Yesterday, I have a ultrasound, though I only requested for KUB, the technician had a quick scan on my liver and he said I have a fatty liver… Can ultrasound detect or differentiate fatty liver from cirrhosis? What test do I have to undergo to know the grade of my fatty liver? I always feel tired and I feel lots of pain (back, arms, legs ) and lately I feel cold on feet and hands at night… Does this indicate a worse case than that of a fatty liver? thanks

    • Greg says:

      Nope, the only way to definitely prove fatty liver is through a liver biopsy. Since that’s painful and invasive (a needle actually takes a chunk of your liver out), doctors and technicians only say a “possibility” of fatty liver.

      I’d hate to be the one to say it, but yes, your symptoms could indicate a worse level – one symptom is painful fluid buildup in the skin. Definitely start treatment now! Stop drinking all alcohol (if you have been), and begin diet and exercise. If you have diabetes, make sure it’s well under control, as there’s more and more evidence of a link between that and liver problems. Get in to see a doctor right away for options. There is an experimental drug, but shedding excess pounds and eating well is still the best remedy.

  • sikandar says:

    Thanks for the guidance but you give answer to everyone and you push me to website but thank you very much

  • sikandar says:

    Hi I have a hepatitis c but my all test become normal like PCR but yesterday I done my liver ultrasound so my liver fatty so please advise me thanks

    • Greg says:

      I finished writing a “Steps to Take” guide (see the right hand side of this website) – I hope this helps you out!

  • Abrar ul Haq says:

    Can anyone tell me that if we can eat left over food of last night

    • Greg says:

      It of course depends on what leftovers you are eating – hopefully lean meat and vegetables? Other than a loss of some vitamins and nutrients, it’ll be fine.

  • eranda says:

    Hi dear
    I have fatty liver problem.my sgpt test is 146 level.weight is 75.5kg.5’4″,i am smoking.but not too much.take alc 3 times per month normally .what should i do

    • Greg says:

      First, you have to figure out if it’s caused by alcohol or not (if it is, you have to cut it out completely.) 3 x a month is definitely moderate, unless your liver was damaged in the past.

      Then, follow the diet guide on this site, which starts here

  • Rahul says:

    Hi Greg,Thanks for your valuable comments.
    Is this disease heritatory? Which exercise will help me?

  • Sanjay says:

    Is taking medicine for fatty leaver treatment good?

    • Greg says:

      There really isn’t any medicine to treat fatty liver, though there are some drugs in research trials. Your best bet is to follow a special diet to slowly lose weight, cut out sugar, and exercise.

  • Neeraj says:

    I have been recently diagnosed with fatty liver. I do not drink or smoke.Normal diet. No weight loss or loss of apetite. With 5’8″ – 75KG weight, I do not do much exercise. I am expericing mild fever for over 1 month – 99-100 degrees of and on. Ocassionally there is internal swelling on arm, leg, foot that goes of its own. Your advice shall be of great help.

    • Greg says:

      Neeraj, it sounds like you have a more advanced form of fatty liver – one of the symptoms is swelling due to retained fluid. You can still reverse it – talk to your doctor about your diet, and mention herbs such as milk thistle.

      • Neeraj says:

        Thanks Greg. I always thought that the swelling and hives were due to allergy. I shall always be thankful to you for the advice.

  • Sameer says:

    Dear Sir,

    I have a fatty Liver type one since last one year. I am 5′.3″ with a weight of 77kg, Age 42. I am Alcoholic & consume around 3-4 Large Pegs of Whiskey everyday & also Red Meat atleast once a week. I am reducing Drinking Alcohols to once a week. Pl suggest me treatment & natural herbs, fruits (Walnuts ?) which can be consumed to get rid of Fatty Liver.

    • Greg says:

      I’m sorry to have to say this, Sameer, but you have to completely cut out all alcohol. Read my Step 2 on what foods to eat – basically, avoid processed foods, most sugars and fatty, greasy foods. Replace with lean meats, vegetables, fruits (which have natural sugars), fish oil, nuts and beans.

    • Sameer says:

      Hii Greg

      Thank you very much for your advice. I am grateful to you. Do I need to take any Liver tonics (Ayurvedic or Allopathic) side by side alongwith exercise & diet ?

  • kaleem says:

    I have fatty liver and i want to know if i can fast during the month of Ramadhan.

    • Greg says:

      That is a very good question! I am not a doctor, but I am handy on Google ;), so I did some research in medical journals. I didn’t find one for fatty liver, but I did find one for fasting if you have diabetes. You can read it here. The only problem I see is the issue of losing too much weight too fast, as this can actually make things worse. When breaking your fast, try to avoid greasy food and saturated fats, and go for lots of vegetables and water. Definitely talk to your doctor about this.

  • Greg says:

    Hello Laura,

    Definitely check with your doctor. I assume you are on medication – one of the side effects of hypothyroidism is muscle pain.

  • Laura says:

    Hello there , i have a fatty liver and im in lots of pain. Yes im sensitive to pain , but ts a year and im struggling with trying to lose weight. I have no thyroid either so double whammy. Is it normal to have pain and discomfort 24/7 ??

    • Ash says:

      Omg! Me too!!! My doctor couldn’t see anything abnormal with my blood tests but decided to do an ultrasound which showed a mild NAFLD. I am over weight, I keep gaining weight >.< and am having a hard time losing it. I was told I shouldn't feel pain if it is NAFLD, especially a mild case but I can also feel when I am ovulating, when I have a cyst in my ovary, etc. My body is very sensitive. I kept being misdiagnosed as well. Doctors would tell me it was heart burn/ulcers and I have an upper-endoscopy done which was fine. My family doctor finally sent me for an abdominal ultrasound which was painful! I'm trying to kick my butt into gear now. I am always tired, sore, etc.

  • Rahul says:

    I have a fatty lever, I always fast on monday.I eat only 1 time on monday, please advice should I continue or stop ?

    • Greg says:

      I would stop, because fasting one day doesn’t help – it only puts more stress on your body, as you starve yourself one day a week. Instead, take a good look at what you eat, and substitute for healthier foods and smaller portion sizes. I’d talk to a dietician, who can help customize a meal plan for you.

      • Ayesha says:

        I am suffering from fatty liver grade 2. Can you explain me its consequences and how much time will it take to recover.

        • Greg says:

          Grade 2 is moderate, and you’re still able to get it under control with lifestyle changes – start at “Steps to Take” to begin recovering. If you follow proper diet and exercise as per your doctor’s instructions, you’ll see an improvement in a few weeks to months – it all depends on your condition and body type. You’ll begin to see improvement once you begin losing weight, but don’t go on a crash diet – that will make your condition worse. Also, one study showed that those patients who lost 9% of their body weight after 36 weeks saw signs of reversal and improved liver health (http://www.med.upenn.edu/gastro/documents/DDSNAFLD.pdf).

          If your condition worsens (if you don’t lose weight, change your diet or exercise), you will continue to feel more and more tired and nauseous. In the end stages, you’ll get jaundice, itchy skin, painful fluid buildup in your legs and arms, skin bruises, and your liver will eventually shut down. You definitely don’t want it to progress to that!

          • ike says:

            Good day to you Greg well i have also been diagnosed with fatty liver but dont know what stage it how can i know what stage it is and lately have been feeling some kinda discomfort around my right top of my stomach..i need help please.

          • Greg says:

            The discomfort is likely the enlargement of your liver pressing into nearby tissue, though it can be other things like biliary pain from your gall bladder. Fortunately, no matter the stage, it is still reversible. You have to avoid alcohol and fatty foods so the liver doesn’t have to work as hard, and you need to exercise – target losing about 1 pound a week. There’s more info on this site and the Liver Diet Guide I myself used and recommend.

          • Rajib says:

            Hi Greg..
            I am currently suffering now..

            1. Liver Mildly enlarge & fatty changes.
            Is that any difference between enlarge liver & fatty liver ?

            2. Pancreas fatty changes.
            How can I recover in these two thing at a time ?

            Plz suggest need help..


          • Greg says:

            Fatty liver can cause an enlarged liver, but an enlarged liver could also be caused by other problems such as hepatitis. Usually, some fat in your pancreas isn’t any cause for concern, but it could also be caused by drinking too much alcohol or gallstones, so I would get it checked out. If your lifestyle includes being overweight and drinking too much, your body is liking telling you that it’s time to lose weight, eat better and no more alcohol.

      • Lori says:

        My husband was just diagnosed with fatty liver disease he also has diabete for which. He is on metformin and glipizide. He also takes low dose Lipitor and citalopram can he use this spray

  • Tipu says:

    I have FATTY Liver what should I do?

    • Greg says:

      The ebook guide I mention above has a detailed plan on diet and lifestyle changes you can implement immediately. I am also currently writing steps you can take once you receive a prognosis of this disease. If caught in its early or even mid stages, it is reversible!

    • Bonnie Bonner says:

      So excited to see your article. I have fatty liver disease. Need your help to heal and get better, thanks Bonnie Bonner

  • Greg says:

    It could be worsening acid reflux. If you feel that way after eating pasta or bread, you may be getting an intolerance to gluten … my wife’s friend has that.

  • David Whitesidedewey Dewey says:

    Having digestion problems and experiencing bloated stomach after meals

    • Kim says:

      That is exactly how I feel EVERY day! I was just diganosed still waiting for more info from the DR.

    • Joe says:

      I’ve been having the same issue as well. What has helped me avoid those symptoms most was changing my diet. I started by cutting out all dairy from my diet, I reduced meat portions, and added a lot more vegetables to my plate. Oh and when it comes to meat, I try to stick with chicken or fish and avoid (not eliminate) red meat as much as possible. Avoiding dairy has been difficult (especially cheese), but not having a gut ache, feeling bloated after a meal, and not having to stay close to a bathroom has been well worth the sacrifice. An added benefit I got from doing this to was I am starting to lower my cholesterol/triglycerides and have begun a slow and gradual weight loss. Good luck to you my friend!

      • Greg says:

        Thank you for your inspiring words, Joe!

        • jilly says:

          is green tea good for fatty liver?

          • Greg says:

            Certainly, as it is full of antioxidants that help protect cells in your body. More importantly, it is even better if you are replacing sugary soda with green tea!

          • Bert says:

            Green tea is not good for your liver …. I had a fatty liver and believe me green tea was not good for me … There is a substantial amount of caffeine in green tea. The one and only thing that worked for me was drinking 6 ounces of Pure Organic Lemon Juice which I consumed 2 ounces at a time right after my meals. Now I had really extreme pain in my right side and bloated stomach and one might think that drinking lemon juice undiluted would be really hard on the stomach. But it wasn’t, it’s been almost 6 months now and I feel so much better. The pain for me was gone during the first week I started drinking the lemon juice.

          • Greg says:

            Thanks for writing in, Bert! I wonder what brand of green tea you had, because I’ve only heard good things about it. Also, I haven’t come across any studies about caffeine and fatty liver – some studies say caffeine is actually good for your liver! Of course, it depends on how much you drink per day. Two cups seems to be a good amount. But everybody is different.

      • becky says:

        Great advice Joe, I have been on a dairy free diet for one week now. I have cut out meats too apart from chicken and turkey. I just hope I start to see a difference soon 🙂

        • Zarine says:

          No carbs like rice bread cakes.The liver is too sick to convert carbs into energy.dairy meats ok even a little fat but carbs NO No till you reverse.can take upto 3 yrs.By then carb craving will vanish.

          • Greg says:

            I haven’t read Becky’s message which this was a reply to, but I wanted to point out that it is rare for a liver to actually be too sick to convert carbs. At that point you are generally hospitalized and have a much larger issue than can be addressed at home. There ARE certain circumstances in which lower carbs are warranted for physiological reasons. For example, depending upon their exact circumstances some Type II diabetics experience a temporarily uncontrolled BG (blood glucose) surge following a certain amount of carbs (this will vary by individual). As for NO carbs, you will literally be eating meats, poultry and fish. Even eggs have carbs (0.6g/egg). 🙂

      • ed says:

        I just got diagnosed with this. And my doctor said too go on a soup diet, and that’s all he wants me too eat. Is that bad or good.

        • Greg says:

          I would never override a doctor’s advice, as the doctor has seen you and I haven’t…and because I am not a doctor. 🙂 Whatever your doctor has recommended, I would follow it, as s/he has examined you (I’m assuming) and knows your medical history and considerations. Wishing you good health!

      • sarah says:

        Thanks for the encouraging words dear

    • Hamilton Johnson says:

      I have been having pains @d right side of my abdomen, constant / drug resistant fever, weakness, loss of appetite, dizziness, itching all over the body, and swelling in d stomach.I have been diagnosed with fatty liver disease. I have been taking silymarin/Silymanne but I don’t seem to see any improvement. Wat do I do?
      Thanks for the useful tips I have seen now. Would work on it.

      • Greg says:

        Call your doctor – not all your pains may be related to NAFLD. Continue with your healthy regimen in the meantime, but there’s a real danger in assuming all pains are related to an already-diagnosed condition. (I’ve done it too, so don’t feel bad.) Get that checked out. 🙂

        • Hamilton Johnson says:

          I have already done all d necessary tests and d fatty liver disease was confirmed. I really don’t know what to do now.
          Sometimes, d pains at my right hand side subsides while it comes c up seriously sometimes.

    • Ismail mohamed says:

      I am 34 years 82kg I have been diagnosed having fatty liver Grade 3 I only experience on back, joint pain and sometimes abdominal pain.
      Kindly advice the best way to reverse and completely do out of it.

      • Ismail mohamed says:

        Thank you.

      • michael says:

        hello mohamed i’m 35 and found out i had diabetes so i started eating lots of peanuts cause they had no sugar carbs etc and was drinking a lot of beer at the same time cause it all so didn’t raise my blood sugar to much but what happen was i started to get a pain under my right side rib cage when i pressed on it it would hurt so it didn’t take long for me to realize i had fatty liver and my favorite food that i have for a treat is pizza so i quit drinking right away and quit eating all nuts. to me that was a no brainier but i love my pizza and soon as i would eat one pizza my liver would get that pain again. so that’s when i said no more i need to fix this now cause i cant live with out pizza. i have diabetes so i all ready eat pretty healthy any candy junk food is a complete no go so maybe this worked for me cause i don’t eat all that and i don’t take insulin. but what I can say worked 100%for me is pretty simple when i wake up i will juice organic spinach and then have a hand full of raw broccoli and some water on a empty stomach then eat nothing tell at least 1 and for dinner i eat a chicken tomato onion garlic and red pepper mix and in between i eat cumbers can eat as many as u like cause they don’t really have anything and they stop u from grabbing snacks. but in no time i would say 3 weeks of doing that i went out and ordered 2 medium pizzas bbq chicken and pepperoni my favorite lol and no pain then i tried 10 beer and same thing no pain so i can say it worked for me 100% and now im going try to do that for 2 or 3 months to really flush out everything and fast a bit too just did a 8 day fast . but it you stick to what i said for 1 month it wont kill u i promises there will be not much left lol its ruthless its cheep and it works you don’t need any fancy pills or liver kits just a 300 buck juicer but well worth it

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