Do You Have a Fatty Liver? 90 Million Americans Do!

by

The most common disease in America is something you probably never heard of, but it affects 90 million Americans and is a major risk factor for diabetes, heart attacks, and even cancer.

It is called NALFD (non-alcoholic fatty liver disease) or fatty liver, for short, and is caused by the 152 pounds of sugar and 146 pounds of flour in our diet.

How do you know if you have it? What’s causing it? And how do you fix it? Do you exercise, take drugs, change your diet, or take supplements to fix it?

Many of you are probably wondering, “What is a fatty liver?” Some of you may have heard of foie gras. Foie gras is the French term for fatty liver that is used to describe a delicacy made from duck or goose liver. What happens to the livers of these animals as a result of the controversial practice of overfeeding is what you could be doing to your own liver, unknowingly. For those people who have this disease, essentially what they have is a liver that is full of fat, and that is a major cause of chronic disease and inflammation in the body.

How is it that we live in a country where fatty liver is the single most common disease, but most people have never even heard of it? 70 to 90 million Americans have a fatty liver and almost none of them know they have it. In fact, you might have it, as well, and not even know it.

What causes it?

In order to make foie gras, ducks or geese are force-fed sugar in the form of corn and starch—a sad practice. In the body, this sugar turns on a fat-production factory in the liver, a process known as lipogenesis, which is the body’s normal response to sugar. Fructose actually ramps up the lipogenesis response.

The high fructose corn syrup found in our processed foods is the single biggest cause of fatty liver. Soda, which, frighteningly, is the number one source of calories in the American diet, is, then, the biggest cause of fatty liver.

How do you know if you have it?

There are blood tests available that can detect a fatty liver. You can also see it on an ultrasound. And if your test comes back abnormal, you are in trouble. But even if your test comes back normal, you might not be out of the woods. It’s important to know that a liver function test doesn’t always detect a fatty liver. An ultrasound can be more sensitive.

The bottom line is, if you eat a lot of sugar and flour, if you have a little bit of belly fat, or if you crave carbs, starch, and sugar, you probably have this.

Why is this a problem?

Fatty liver creates a whole cascade of issues. It causes inflammation in your body. This inflammation creates insulin resistance and pre-diabetes, which causes your body to deposit fat not just in your liver but also all around your organs and in your belly.

That dangerous belly fat caused by the sugar and starch in your diet then creates even more problems. It causes you to have high triglycerides and low HDL, the good cholesterol. It causes you to have small LDL, the dangerous cholesterol particles that cause heart attacks.

In fact, having a fatty liver puts you at great risk for having a heart attack, and most people have no idea they have it. Certain populations like Latin Americans have a much higher risk of having a fatty liver.

And shockingly, now, we see 12-year-old boys who have lived on soda for years needing liver transplants from fatty liver. That’s pretty scary, and we really need to think about what we are doing to our children by feeding them these toxic substances.

When you have a fatty liver, you need to think about the damage it’s causing. You don’t want to end up with a liver transplant. You don’t want to end up needing to be on medications to fix the complications of a fatty liver like high blood pressure, diabetes, heart disease, and abnormal cholesterol. You want to get to the root of the problem.

How to fix your fatty liver

There are some really simple things you can do with diet, exercise, and supplements to help heal your fatty liver.

  • Cut out all high fructose corn syrup from your diet. If you see it on any label for any product—whether it’s a salad dressing or ketchup or tomato sauce—don’t eat it. Think about it: most servings of tomato sauce that you buy in a jar have more sugar than a serving of Oreo cookies. Get rid of all that high fructose corn syrup from your diet, 100 percent, no exceptions.
  • Reduce or eliminate starch. Get rid of white, processed flour. Even whole grain flours can be a problem. It’s common to find too much of these starchy foods in the classic American diet, or what we call the SAD (Standard American Diet). All of those things will promote a fatty liver. You may be surprised to learn that it’s actually not fat that causes a fatty liver. It’s sugar. To learn more about why this is true, check out my book, The Blood Sugar Solution.
  • Add some good things to your diet to help heal your fatty liver. Add plenty of fruit, vegetables, nuts, and seeds. Add lean animal protein like chicken and fish. Add good oils like olive oil, macadamia nut oil, avocados, coconut butter, and fish oil. Good fats like these are anti-inflammatory, and they help repair your liver.
  • Improve your metabolism through exercise. This is a fabulous way to improve insulin resistance and reduce fatty liver.
  • Use the right supplements. I do a lot of this with my patients, and I find it very effective. We give them herbs like Milk Thistle. We use things like Lipoic Acid, a powerful antioxidant, and N-Acetyl-l-Cysteine. These things help boost something in your liver called glutathione. I encourage you to read my blog on glutathione, which talks about how this wonderful detox substance in your liver can be regenerated with certain supplements. And we use other things like B vitamins and magnesium. All these things will help your liver repair and heal.
  • Eat detoxifying liver-repairing super foods. Focus on the broccoli family. I love this family of foods, and I try to have at least a cup or two every day. Kale, collards, cabbage, Brussels sprouts, broccoli, arugula, daikon radish—all wonderful foods that help repair and heal your liver. Garlic and onions, also, are full of sulfur, which is a great detoxifier.

I promise you, you don’t want a fatty liver. You need a healthy liver to help you deal with all the junk and chemicals in our environment. When you have a healthy liver, your body stays healthy, you don’t get sick, and you can feel good, which is what I want for everybody.

So, now I’d like to hear from you…

  • Are you concerned you may be at risk for fatty liver?
  • Have you been diagnosed?
  • What have you tried that has helped you? Or what hasn’t worked?

Share your questions and experiences in the comments section below, so that you may help others or others may help you. Share this House Call with your friends and family, and subscribe to receive one every week. Join me on Facebook and Twitter, and submit your questions, so that next week, I may make a House Call to you.

170 Responses to Do You Have a Fatty Liver? 90 Million Americans Do!

  1. Thomas Griffin November 7, 2013 at 12:00 pm #

    Will detoxing the liver help repair it from fatty liver disease?

    • Profile photo of Team Hyman
      Team Hyman December 30, 2013 at 10:59 pm #

      Thomas this is the idea! Good luck and keep us posted!

      • scott October 10, 2014 at 7:45 pm #

        I am confused. Dr. Hyman’s comments about fructose I understand, But in your section about what to do about it, you mention eating lots of fruit (among many other good things!)
        So I am confused if you have NAFLD, should you be eating fruit really??
        Thanks,
        Scott

        • Profile photo of Dr. Hyman Nutrition Staff
          Dr. Hyman Nutrition Staff October 18, 2014 at 6:37 pm #

          Hi Scott,
          A healthy diet for fatty liver disease should include fruit, because of its high amount of dietary fiber. Keep in mind that a reasonable amount is 2-3 servings per day of 1 cup berries or 1 medium sized piece of fresh fruit.
          Dr. Hyman Staff

        • James November 28, 2014 at 7:31 am #

          To Scott. Really.

          Don’t you know that the crab sugars you get in most foods nowadays – soft drinks, cookies, cakes, etc., etc. is absolutely horrible for you.

          In fact many researchers are saying it’s not even real sugar as it is EXTREMELY hard to disgust.

          Fruit sugars are NATURAL = easy to disgust.

          Now if you’re eating 10 apples a day or something like that, you’re in for some problems.

          As with ANYTHING eat in moderation.

        • TayR January 5, 2015 at 7:27 pm #

          Scott,

          Just to clarify: Dr Hyman recommended us to remove “high fructose corn syrup” – not the natural fructose from fruits. That’s where you probably got confused. That darn corn syrup is the villain!

    • luistorresjr January 20, 2015 at 11:20 am #

      I was shot in 1997 while driving my cab since then i have had eight surgeries which left me with three pieces of mesh from separate surgeries my liver was torn in half and so was my stomach. Before this i never had any issues medically. My diet consists of oatmeat old-fashioned. Eggs three a week no sugars white flour products no fried foods no fast foods no soda . I eat chicken turkey salmon sardines and whole wheat bread plus two table spoons of flax seed in my oatmeal every day my recent blood work showed a tryglisaride of 187 first time ever since i got shot and the fatty liver scan what can. I do to remedy this i am 52 dont drink smoke or do drugs my only vice is coffee six to ten cups aday with half and half . Can you suggest websites that tackle these issues or has ideas of natural remedies. I have postponed my current surgery which only offers me a 30% chance of survival with a six hour surgery to remove all the meshes and patches an tacks left behind and reattach my abdominal muscles that are laying on both side of my rib cages .loved the video thank you

    • Mike February 6, 2015 at 7:15 pm #

      Hi,

      I was just diagnosed with diabetes and the blood work indicates a fatty liver. I read your post regarding that and wanted to add my name here because the bloodwork indicated a fatty liver. I am modifying my diet and adding more exercise as well and am hoping to alleviate both issues. I am glad I found this site and am grateful for the advice…..here we go!

  2. fatty liver diagnosis December 4, 2013 at 2:30 pm #

    I recently received a test result indicating a liver issue, and my Dr. said it is 95% likely to be a fatty liver, which he said is of no concern. In reading your article, I tend to agree with everything you’ve said here. My Dr. asked me to get an ultrasound of the liver and re-test my blood in 2mo’s. Do you think I should bother with the ultrasound, or should I continue doing eating healthy like I have been doing for the past few weeks and re-test and see if there is a difference?

    • Profile photo of Team Hyman
      Team Hyman December 27, 2013 at 2:58 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs
      In Good Health,
      Dr. Hyman’s Wellness Staff

    • holly chavez December 25, 2014 at 7:50 pm #

      I can tell you what my doctor said. She diagnosed me with fatty liver and was VERY concerned. She wants me to exercise and eat a healthy diet. She told me to lose some weight immediately. She also recommended I see a GI specialist.

      • dan March 28, 2015 at 6:03 pm #

        so what was the result and what did you do to resolve this issue.

  3. Joaquin Mills December 7, 2013 at 5:07 am #

    Thank Dr.Hyman, I am addicted to sugar but learning to say no.I believe this is the cause of my problems. I have your book Ultramind soulution due to my adhd. I have started college at 48 years old, I would never have thought it possible before implimenting a lot of things from your book. I am so far an A- b student at cmcc in Auburn Maine. I dropped outout of high school because of adhd I thought I was stupid I am trying to get myself a functional med. Dr. But right now I am reading your book about sugar. THANK YOU so much for the work you do.I hope you have many blessings in this liftime and the next. Joaquin

    • Monica October 9, 2014 at 10:26 pm #

      Hi Joaquin, I felt the sane way u do. I am currently a late college student labled as lazy by teachers. I am determined to have my Bachelors degree by 46 I’m 42 now. I was just diagnosed this week with fatty liver
      My gallbladder was removed and the surgeon said you might want to change your diet, if you want to live a long life. I saw your liver and it was fatty, follow up with your primary doc. So u are not alone. Thank you too Dr Hyman for this valuable info.

  4. dianna December 13, 2013 at 8:59 am #

    I am a sonographer and I see this every single day. I have been scanning livers for 25 years and I would guess that more than 70 % of the abdomens I scan have fatty liver. This has increased over the years . I also now see fatty liver and gallstones in many more younger people than ever before. It has become epidemic in my practice. there has of course also been an increase in the number of over weight patients as well. I preach all of the things you talk about in the article above to everyone I know. We eat an abundance of cruciferous vegetables as well as garlic and good fats. I’m passing this article on to people I know as well. thank you for a great article on this subject.

  5. sreenivas December 23, 2013 at 7:46 am #

    I do have fatty liver begeening stage. please advise about what sort of food i can have also how to heal the fatt.

    thanks

    Sreenivas

    • Profile photo of Team Hyman
      Team Hyman December 27, 2013 at 1:50 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/
      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching, please see: http://store.drhyman.com/Store/List/Coaching-Programs
      In Good Health,
      Dr. Hyman’s Wellness Staff

  6. Mike December 30, 2013 at 3:15 pm #

    Hi Dr Hyman, My wife and I have a great deal of respect for you and the work you have done, we recently added your protein shake to our menu for breakfast in fact it is the only thing for our breakfast with the exception of two days a week. I do have NAFLD and I take it very serious as I understand the function of our liver and how much we need it to be healthy, I have recently added the supplements you have named to my diet and am very good at taking it everyday.

    My problems are quite complex as I think they all are caused by a Heterozygous MTHFR A1298C mutation along with a Homozygous MAO-A R297R. I am 49 male 250lbs. very active when not in the house depressed and wired from anxiety. The following are what I struggle everyday with…

    Anxiety and depression my whole life recently gotten much worse until I finally found a good ND who understands MTHFR mutation’s
    Crohn’s disease I am not sure I have ever suffered symptom’s although
    NAFLD diagnosed Summer 2012
    Gluten allergy started around 2000

    I stopped dairy for about 6 month’s only cheating rarely but have recently added it back because my ND told me for the first time ever I was low in calcium and protein and I almost never touch wheat. The wheat and dairy are extremely difficult for me as I was raised on heavy amounts of both and they are almost entirely in everything. Sugar is one that my wife and I have really faced a wake up call on as it is so damaging on so many levels mainly as an inflammatory agent.

    Thanks for all of your honest help

  7. miss alex mccartney January 24, 2014 at 10:37 am #

    i wanted to know if i can use these products miks thistle because i am a diabetic what other products can i use for a fatty liver and for my pancreacs so it stays healthy many thks

  8. Lyn January 24, 2014 at 12:20 pm #

    I have recently been diagnosed with fatty liver disease. My doctor acted as if it were no big deal. They said to just cut back on my fats and try to get some exercise. You mentioned Milk Thistle, Lipoic Acid and N-Acetyl-I-Cysteine, B vitamins and Magnesium. How much of these should I take?

    Also, could this cause my right side to be distended? This is the only explanation they have offered me, but I have a friend who also has fatty liver, but does not have the bloating.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 22, 2014 at 5:13 pm #

      Hi Lyn,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

    • Lisa November 10, 2014 at 10:45 am #

      Hi I been diagnosed with a fatty liver too and my doctor said the same as yours. I been doing a lot of research and I changed my diet to as much organic stuff I can eat and afford. Yogurts, butter, Fat free milk from organic valley, cereal, Ezekiel bread whole grain, and lots of other stuff I feel so much better. Not bloated anymore still show a little bit puffy on my right side where the liver is but my bloating went down so much and I feel so much better. I also started taking the NOW brand plant enzyme, read about that too. My Gasrto doc told me to take Vitamin E so I am taking Garden of Life Vitacode RAW vitamin E and it has selenium and a few other vitamins its pricey but worth it 2 capsules a day.
      Do your research on organic and non GMO verified and all that might help you. And yes I want to exercise and I just cant get motivated to do it but trying and hoping I get there cause I know it will definitely help me.
      My oldest daughter is the one who helped me to get into all this non GMO and organic stuff and it has really helped and she has a 2yr old and a 1 year old and she is giving them those types of food too cause she worries about them so much.
      Well hope you feel better and let me know if you find out anything else. If you really want to find out about how much milk thistle to take you can go to a nature store or vitamin shoppe they are pretty knowledgeable and should know how much of that to use.
      Good Luck with your liver help. and by the way I had a sonogram of my liver and that’s when they said it was fatty besides the blood test saying its at 42 right now. I hope it goes lower and my tryglycerides are elevated too.

  9. monte January 24, 2014 at 2:16 pm #

    There have been studies that choline can reverse fatty liver. See this study
    http://www.jbc.org/content/120/2/647.short

    So, you should really add that to the list of supplements to take, as well as not demonize meat and eat organic free range eggs and the livers of grass fed organic free range beef cows and eat them as well as lots of veggies and some fruit and the foods listed above.

  10. Michelle January 24, 2014 at 2:30 pm #

    The minute we stay over 15 pounds overweight for more than a couple of years we can get sick. This is serious so do everything Dr Hyman recommends. I did all of this when I was diagnosed in 2010. My Friend had NAFLD too and took Milk Thistle caplets. I still use them still along with better nutrition. I am still not my idea weight but I am going to get there! My Husband says I am on my way to better health. I never want the upper abdomen pain again!

  11. kelly January 24, 2014 at 2:51 pm #

    i have had a fatty liver for approx 15 years and my doctor says it’s completely from my alcohol abuse. i was a daily beer drinker for many many years but am trying to have 2-3 alcohol free days per week. i had a biopsy done 2 years ago that showed fatty liver, nothing more. can you live with fatty liver that never progresses into anything further? i do not eat healthy, i eat a lot of white carbs and processed foods. i am 5’3 155 pound female 50 yr old

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 20, 2014 at 7:53 pm #

      Hi Kelly,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  12. Tina January 24, 2014 at 3:40 pm #

    I’m just wondering how a fatty liver would appear on an ultrasound? My father has had a number of ultrasounds showing a significant size lesion on his liver, drs have told him not to worry about it but I am wondering if this could be a sign of a fatty liver?

  13. Alleta Baltes January 24, 2014 at 9:26 pm #

    I have been following your advice for the past year, with probably 80% regularity. I loved the article about what to eat– canned sardines, olives, cut up veggies, small cooler, etc. on the go. My cholesterol dropped almost 100 points and my triglycerides dropped unbelievably too. My good fats LDL are still low — hard to accept I really can eat fat. Thanks for your wonderful advice. I am also exercising moderately daily for at least 30 minutes (most days, most weeks). Thanks for the great advice. Your work is amazing.

  14. LuAnn January 30, 2014 at 10:47 am #

    My doctor diagnosed me with fatty liver and basically led me to believe it was because I was fat. I never heard a word about sugar. Now my new doctor is opening my eyes which led me to your site. I am thankful to know what I actually “have” and how to take care of myself. I wonder how many other doctors are diagnosing and not helping their patients through this especially with something as important as your liver?

    • jan July 14, 2014 at 3:12 pm #

      I agree wholeheartedly! I was diagnosed with a fatty liver 20 years ago. I was 5′-8″ and 140 lbs. The Dr said the same thing… I needed to lose weight. Really! I was shocked. I was thin but what I didn’t know was that I was ‘skinny fat’ (not talked about 20 years ago). At the time, it was all about a low fat diet so by the Dr telling me I needed to lose weight, he effectively poisoned me with a high carb diet! Unbelievable! I am finally starting to understand my health issues but it hasn’t been because of my Doctors, it’s because of all the research (NIH and other med journals) that I started to read over the internet. If, 20 years ago, my Dr had said it was because i ate too much sugar and didn’t have enough muscle, I would of had an epiphany!! Instead, 20 years later, I have diabetes and a fatty liver! Both caused, not by too much weight, but by too much sugar. I appreciate Dr Hyman’s information and wished that the Medical field would start being more serious about ‘white death’ (sugar, salt, flour) and stop telling people that they are fat, when in truth, we don’t have enough muscle!

  15. Saby March 17, 2014 at 3:30 pm #

    I had some abdominal pain with an elevated liver enzymes my doctor sent me 2 weeks ago for an ultrasound that came back that I had fatty liver. I had my baby 2 months ago and shortly just ‘recently found out I have type 2 diabetes and a fatty liver. I am eating healthy but sometimes I crave sweets are sugar free chocolates and cookies ok or is that putting me at risk also?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 20, 2014 at 7:45 pm #

      Hello Saby,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs/
      Wishing you the best of health,
      Dr. Hyman Staff

  16. jeff avant March 18, 2014 at 6:22 am #

    “small LDL” ? Is this a typo?

    Other wise this seems very well done. Substantively, It would be useful to publish the amount of NAC or LA typically recommended for this application.
    Good work!

  17. Gerri March 20, 2014 at 4:05 pm #

    I was recently diagnosed with NASH stage 4 and am now seeing a liver transplant specialist. I noticed you stated the broccoli family as a great way to detoxify the liver. What are the chances that fruits and vegetables high in vitamin A could improve or damage the liver. I have researched both food groups and still am confused. What are your thoughts?
    Thanks!

  18. Lindsay March 25, 2014 at 12:05 pm #

    Sonogram for on-going abdominal discomfort found fatty liver. Surgeon told me that is diagnosed when they can’t find something else! I started taking Milk Thistle and eating a lot of beets. Gastroenterologist told me to stop milk thistle! Such conflicting information is frustrating to patients. I do think he was right that my discomfort was from fructose as when I eliminated all my favorite vegetables and fruit high in fructose and products with high fructose corn syrup, the ache that I’d had for many years went a way.

  19. maribel April 3, 2014 at 12:37 pm #

    I wake up one day with my teeth all marked in my tongue. Lot of people (even the internet) told me that when you have problems with your liver, that is a sign. I do have diabetes 2. But it is under control!! Do you think I should test myself?? Is the teeth really a sign????

  20. Sean April 7, 2014 at 8:57 pm #

    Hi Dr Hyman,

    I am a 32 year old male and I have a Fatty Liver, I do not know weather or not it is alcohol related, I used to drink a bit but have been off it for over 2 months now. I regularly eat steamed skinless chicken, cauliflower, broccoli and natural or light greek youghurt, I also regularly take the Usana essentials vitamins and minerals along with their bio omega 3. I have just started taking TMG (Trimethylglycine) supplements and have recently started drinking freshly squeezed Grapefruit, lemon and lime juice mixed with freshly crushed garlic and organic cold pressed olice oil every morning, however this morning when I went to the local health food store the attendant told me that olive oil is taxing on the liver and if I have something wrong I should not consume olive oil, is that true?

    I had a liver function test done a few weeks ago and the results came back normal…., also I have experiences weekness and shakiness if I do not eat at regular intervals but my blood sugar levels are normal however an insulin fasting test showed 4… these symptoms have subsided though…

    I am seriously considering doing a few coffee enemas to speed up the detox process.. also I have been taking milk thistle supplements, Activated B3 Niacin and Oxy-Powder (this one not often).

    Also I am doing approx 2 shots organic apple cider vinegar with the mother a day, I have fixed my diet for the most part although I do consume 4+ cups of black coffee a day with 1 teaspoon of organic raw sugar

    Hopefully I am on the right track?

    Thanks Dr Hyman

  21. Jennifer April 9, 2014 at 9:58 pm #

    Can you reverse fatty liver disease? If you loose weight and exercise and eat very well will the fat come off the liver completely? Thanks!

  22. Debbie April 10, 2014 at 11:09 pm #

    I have been ill since October, 2013. Couldn’t find out what was wrong until I went to an emergency room in December where they ran a CT Scan of my abdomen. Fatty liver was diagnosed. I have changed my diet significantly, and taking milk thistle, garlic, Omega-3 fatty acids. Just had a blood test done April 2014, Waiting for the results. Hopefully, my liver enzymes are better since I have been on the diet and suppements since January. By the way, sites like yours are what helped me know what to do— my doctor was clueless. My triglicerides had been high for years! I am now with an internist who is watching my enzyme levels.

    • Chris September 6, 2014 at 6:36 am #

      Did you ever get the results back?

  23. Donna April 17, 2014 at 6:28 pm #

    Hi!

    How much lecithin would I take for liver health? Is it similar to milk thistle?

    Is one better than the other?

    Thank You!

  24. Candace Olson April 20, 2014 at 12:04 pm #

    I have been diagnosed with fatty liver and is probably hereditary since my family is notorius for high cholestrol. I have been seeing an acupuncturist who is associated also with Oriental medicine and I am reducing my sugar intake and on Dandelion herbs and taking the Milk thistle and a mutli vitamin. I have changed my diet to primarily vegetables, fruits, meats and fish. Primarily what is known as a paleo diet. I am by no means perfect and often cheat. But I am working at it 60 years of bad habit is not easy to change. According to the Oriental medicine and acupuncture signs I have a sick liver and really have reduced a lot of the bad. Losing weight is not easy because of asthma (lack of exercise because of it) that I am gradually increasing exercise but working to get out of this catch 22 situation (inflamation etc.) hopefully I am on the right track.

  25. elaine harriott April 22, 2014 at 3:44 pm #

    I would like information of the right foods to eat when a person have fat in their blood and liver. I thought whole wheat was good to eat such as breads. I know diet and exercise and avoiding sugar is very important. Thank you. cholesterol level is 5.5

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 15, 2014 at 5:23 pm #

      Hi Elaine,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  26. Cher April 28, 2014 at 2:43 pm #

    Will Drinking Green Tea and/or Everyday Detox Tea flavored Lemon for Liver and Antioxidant 100% pure Juice can lower the level of ALT?

  27. Elmira April 29, 2014 at 5:41 pm #

    duration to heal:

    How long does it take to heal your liver once you start to lose weight and change your diet?

  28. Mark Vickers April 30, 2014 at 9:47 am #

    I was diagnosed 2 years ago, I was told it was caused by diet and to go onto a diet, I had no idea it was caused by sugar until recently, I have been feeling much better since cutting out crap.

    I have a question, I know alcohol is bad but, is larger safest? It does have calories but virtually no sugar, I drank cider before which is likely the root cause as contains massive amounts of sugar.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 8, 2014 at 5:45 pm #

      Hi Mark,
      It is recommended to avoid/eliminate all forms of alcohol to prevent/treat fatty liver disease.
      Wishing you the best of health,
      Dr. Hyman Staff

  29. Wendy April 30, 2014 at 4:40 pm #

    I am a 60 year old woman who exercises daily and am in excellent physical shape. I weigh 135 and am 5 7. I feel better than I did and look better now than when in my 50.s. I take vitamins and ear very healthy foods. I do drink 4 glasses or more of wine 4 to 5 nights a week yet drink it slowly. So is it the red wine! ? Sounds like it. It’s my only vice. But I cannot seem to go to one or two.

  30. Wendy April 30, 2014 at 4:43 pm #

    Oh sorry. I was just diagnosed with fatty liver from the gallbladder ultrasound. I have pain in my upper right quadrant. Sometimes food affects it and I have just recently after eating become quite nauseous and vomited 3 or more times. The Murphy test revealed an inflammed gallbladder. However, the ultrasound did not. Just fatty liver. I’m awaiting blood test results.

  31. Sherrie May 6, 2014 at 1:00 pm #

    I was told I had a fatty liver during an ultrasound for another issue. I have been on a no starch, no sugar diet eating spinach, kale, broccoli, onions, peppers and greens along with lean protein, nuts, legumes (for fiber), Rooibois tea with milk thistle, taking ALA, Garlic supps and using good fats (olive, coconut, macadamia nut) for about 3 months now. While I’ve lost 3″ off my waist so far (approximately 11 lbs), I stalled out after the first month and there’s still a long way to go. I’m briskly walking for about 3 miles per day and doing light strength training as well. I’m wide open to suggestions on what I might add to continue the rejuvenation of my liver. I do feel like I’m losing the fat around my waist and that’s great but I’ve drastically reduced my calories, eliminated refined sugar and all starches with the exception of beans. I believe this is doing something good for me but I feel like my organs aren’t working at their optimum yet.

    any suggestions are appreciated!
    thanks!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 7, 2014 at 8:56 pm #

      Hi Sherrie,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/. Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  32. Mateen May 19, 2014 at 1:29 am #

    Last month my liver test results were like 400% fat increased although am not alcoholic drinker not even i touched any cig or drugs but i eat fatty food like oily substnces and all how should i decrease it by naturally

  33. Rekha May 21, 2014 at 10:54 pm #

    Dear Dr.

    My husband is diagnosed with fatty liver doctor said no issues. From your article above I came to know my mistake I have been using products with corn syrup, fructose etc. I think that may be the reason. My husband is non alcoholic, don’t even take tea and coffee. So if I stop that do u think that he will b fine. I am very much worried. I am very thankful to u for your article because I was able to understand the problem. Please reply. Thanks in advance.

  34. mary May 25, 2014 at 4:53 am #

    I’ve been telling my Dr for over 10 yrs now that I had pain in the upper right quadrant. They did a gallbladder scan but that came back clean. Nothing was mentioned about my liver. I’ve had numerous blood tests they found underactive thyroid, but nothing else.

    A number of years after starting with the pain I went into hospital for removal of a stomach tumour which was, according to the consultant surgeon, so large it was pushing up on my heart and lungs (it weighed over 20lbs). Still no mention of a fatty liver.

    Thing is, I’d still have the tumour if I’d listened to my Dr, he’d diagnosed me as ‘not wanting to go to work’ even though I was having all the symptoms of a heart attack, when I had them a second time I went straight to A&E and they did an MRI.

    I was recently sent for a US of my kidneys (had problems since a child) and it was only because I was saying to the sonographer about the pain that he scanned the area and it got diagnosed. However, all my Dr has said to me is that I need to lose weight.

    As I’ve only put on weight in the last couple of years, I struggled with what my Dr said about it being completely weight related. Now, having found your site, I realise that the thing for me is the soda.

    So maybe Dr’s also need educating on this as well as patients as they can kill us by not diagnosing it and telling us how to change our diets.

  35. Lynn June 6, 2014 at 2:26 pm #

    Hi,
    I’m a 51 year old woman and I’m 5f 51/2 ” and weigh 184.
    I was recently diagnosed with:
    1. fatty liver disease
    2. percutaneous anemic
    3. vitamin B12 and D deficient
    4. disc degenerative , osteoarthritis
    5. high blood pressure due to an adrenal tumor issue . I am taking prescription meds for B P as I haven’t removed the benign tumor.

    I was already eating healthier foods due to my father (who is diabetic) living with us. Since the news of my health I also have cut out regular drinks and only drink diet drinks. I also use heart healthy oils and ingredients.
    My question is with all of my issues could I have something that connects all or most of my issues?
    and what else should I change example : the flours I use , certain foods I should have ? I’m really confused.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 31, 2014 at 6:44 pm #

      Hi Lynn,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  36. Rebecca June 13, 2014 at 5:21 pm #

    I have been diagnosed with fatty liver disease. After a rather serious accident, I have also gained considerable weight in the last six months, and am having problems with swelling in my ankles and stiffness. Most weight gain around abdomen.
    I have just been cleared to regularly exercise again. I am researching your site to get back to normal weight and health. I also have Hepatits B from a long ago blood transfusion, but it has been in remission for years.
    I am concerned about my health and ready to improve it!
    My mother has been insulin dependent for years, my father had numerous heart surgeries before dying of pancreatic cancer last year. I am ready to get weight and liver under control and hopefully not have the genetics win!
    My two biggest desires- to be medication free while healing my liver and losing that extra 50 pounds….

    • Profile photo of Team Hyman
      Team Hyman June 17, 2014 at 5:42 pm #

      Hi Rebecca,

      Sorry to hear about your recent issues but thrilled to hear you are ready to start your journey to health!
      You may want to check out the 10 Day Detox book and other resources for getting yourself back on track and
      jumpstart your new lifestyle.

  37. Kev June 14, 2014 at 12:16 am #

    Thanks for your help!

  38. chandradeep June 15, 2014 at 6:15 am #

    I am having fatty liver. can i take the Kirkland multivitamin tablets daily 1?
    Does these tablets cause any issues?

  39. Glenda Crawford June 17, 2014 at 5:20 pm #

    I was just diagnosed with fatty liver following an ultrasound. A little surprised and now confused. I never drink alcohol, and am not overweight. I am a 61 yr. old woman who has struggled with low blood sugar since I was 7 years old. If I don’t eat frequently by blood sugar will go down very low. At times into the 40 -50 range. Sometimes after I eat it is up to 160!!!! Only to come crashing down. Any advice would be appreciated. Thank you.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 1, 2014 at 6:50 pm #

      Hi Glenda,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  40. Pete June 24, 2014 at 2:03 pm #

    I was told a few years back I had fat around my liver. It was found after I had an accident and they subsequently did an MRI to scan for internal bleeding and such. Few years later I was told that my liver enzymes where slightly elevated. I also started feeling pressure on my right side by the lower side of my rib cage. That prompted another test and again my liver enzymes where elevated. Nothing was ever done since I never did any follow up blood test that where asked of me (I suffered from YIS; young and invisible syndrome). Now I went in the other day fr some unrelated pain on the left side which prompted an abdominal ultrasound for fear that my spleen could be enlarged. It turned out that my spleen was fine but again my liver was saying hey there … forgot about me.. I have a lot of fat now.. You might want to pay attention to me… And that I am. I have a visit scheduled with a gastroenterologist and I know for sure I am going to be told to follow all the suggestions outlined on this site. What I did not see was anything on artificial sweeteners. I am a diet coke addict and I know it can’t be good for me since I feel the pressure on my side every time I drink the darn thing (probably mental). Is there a link between excess artificial sweeteners and liver disease?

  41. Melia Cartier June 25, 2014 at 12:54 pm #

    Sign me up for Dr. Hyman’s weekly Q & A

    • Profile photo of Team Hyman
      Team Hyman June 29, 2014 at 2:58 pm #

      Hi Melia,

      There is no weekly Q & A with Dr. Hyman. But on July 17th, he will be having a live chat in the online community. It will be at 8PM. You will be able to access it at http://www.drhyman.com/activity.

  42. Jamie June 27, 2014 at 11:03 am #

    I was able to lose weight and get back to normal living through use of the products made at LiverMedic.com. Especially Hepatiben.

    High sugar diets and toxin build-up promote excess liver fat storage. Taking HEPATIBEN™ while incorporating a healthy diet will neutralize the resulting high oxidative-stress environment and reverse hepatic cell damage. HEPATIBEN™ includes targeted compounds critical during the release of toxins stored in fat cells. They also act as super-antioxidants, replenishing other naturally occurring antioxidants.

  43. Major Woody July 1, 2014 at 10:34 am #

    Question: If you consume fat(non or saturated) how the the liver process it? Can it store it?

  44. Holly Miller July 1, 2014 at 5:19 pm #

    I think you should mention in your article that non-alcoholic fatty liver can also be caused from some genetic conditions. I have hemochromatosis, iron overload, that has caused my fatty liver, not my healthy, organic, low carb, low sugar diet. Also, fructose, sugar from fruit, turns into fat in your liver. It is the only sugar that isn’t converted into glucose and then glycogen in our bodies. People with fatty liver should avoid fruit unless in small amounts of low sugar berries between meals on an empty stomach. (as per the Liver Bible and the Ezra Protocol)

  45. Roger D July 5, 2014 at 8:12 am #

    I just had a UT on my abdomen last week. I am 58. I have a fatty liver – a large area. I also have 2 x cysts – 1 in each kidneyI am on heavy supplements now and anti oxidents. It feels like it is working. I have lost 3 kilos in 10 days. I feel better already. No more alcohol for me. The UT was just a medical check up. Lucky I found out.

  46. s. weerakoon July 5, 2014 at 5:56 pm #

    My blood report showed a problem with enzymes ,colesterol and an echography says there is mild steasis in liver.i read this part n decided to not eat any fatty containing food, but my main food is rice. Even that ill reduce.
    Iwant ti know how far hot water n tea n coffee plays on this matter and reducing of food in curing this fatty liver problem

  47. Nieves Cardona July 8, 2014 at 8:23 pm #

    The supplements you recommend to your patients like “milk thistle, lipoid acid or N -actyl- 1cysteine can they be obtained OTC? Your answer is very important to me because I identify myself with all the stories I just read above, Im 62 yo female.

  48. Holly July 13, 2014 at 3:55 pm #

    My situation is very unusual according to my Dr. and they don’t know what to recommend exactly. I recently went to the doctor (for the 4th time in 15yrs re: the same issue, but now worse) because I was having severe pain in my right side (intense and excruciating, the feeling of . The first 3 times they could find nothing wrong. This last time they found mild NA fatty liver disease and some small sand in my gallbladder and they said neither of these cause the degree of pain I sometimes have.

    A little about me: I have been overweight my entire life from babyhood on up and I currently weigh around 300 lbs at 5’9″. My family did not eat sugar or white flour or other refined foods for most of the later years I was growing up and we ate whole grains, vegetables, etc. I ate very healthy for most of my adult life as well, and for the last 20yrs. I have eaten so incredibly carefully that the doctor does not understand it.

    We garden and I eat organic veggies and fruits, whole sprouted grains, raw goats milk products, raw nuts and seeds, farm eggs/chicken/fish, moderate amounts of raw honey for sweetening, org. oatmeal, all types of beans, occasional org. brown rice, etc. I NEVER, EVER eat any refined or processed sugar, flour, or other foods. I do not eat chemically preserved foods, red meat, refined salt, processed dairy, etc.

    So you can see why the doctor is at a loss other than to tell me to have my gall bladder taken out. Any input would be welcome. Thank you, Holly

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 26, 2014 at 2:47 pm #

      Hi Holly,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  49. sandy carlisle July 29, 2014 at 12:17 pm #

    I am 5’5” and weigh 212lb. I have never weighed this much in my life. I don’t eat sweets or much bread and maybe a coke a week. I have a fatty enlarged liver since last Dec. Losing this weight is very hard. I need to locate a plan because I am very overwhelmed with it all. Excersing hard is very difficult. I just had my 2nd knee replacement and have a very low immune system. I stay very tired. What book or advice could you give me?

    Thank you, Sandy

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff July 29, 2014 at 12:29 pm #

      Hi Sandy,
      Thank you for your interest in Dr. Hyman’s programs. I recommend that you consider the Blood Sugar Solution program (http://www.bloodsugarsolution.com/) to help you transform your health. The program is not just about diet, but also about lifestyle changes that will ensure that your healthy habits last for a lifetime.
      Wishing you the best of health,
      Dr. Hyman Staff

  50. sport nutrition products August 5, 2014 at 1:21 am #

    Thanks for sharing your thoughts on bodybuilding supplements.
    Regards

  51. Caren Carla August 13, 2014 at 1:31 am #

    Well, i would like to say that there is no prescribed medication for the fatty disease, however fatty liver can only be treated with right kind of supplements and remedies. For the treatment of fatty liver we should follow a natural way which include workout programs and healthy diet plans.

  52. Nick August 15, 2014 at 5:27 pm #

    I’d like to agree with Caren Carla, concentrated supplements while following the right diet can make the difference. I have witnessed family members reducing insulin and getting their liver enzyme number down taking Hepatiben from Liver Medic. That and Red Palm Oil. The diet changes are very critical, but when entering phase II conduction in the liver, you need these ingredients to really spark fatty liver repair.

  53. Maryann August 18, 2014 at 4:08 pm #

    I noticed in the writeup that you should use supplements like Milk Thistle, Lipoic Acid and N-Acetyl-l-cysteine. What would be the dosages you should use to repair the fatty liver. Also, is there a juice you can make that would help detox the liver and/or strength it? I’ve read from another source on line that fruit is not necessarily good for reducing fatty liver – so I am a bit confused. Are there fruits that would be good? I found a juice recipe on line that has spinach, pears, apples, and bananas that says it is a good detox for the liver – is it?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff August 18, 2014 at 5:46 pm #

      Hi Maryann,
      For additional information about supplements recommended by Dr. Hyman, please seehttp://store.drhyman.com/Store/List/Supplements. Remember that it is always best to review all of your medications and supplements with your doctor before taking them. Dr. Hyman recommends plenty of fresh vegetables, fruits, nuts and seeds to support your liver function. Please see recommended recipes to optimize your health at http://drhyman.com/blog/category/recipes/.
      Wishing you the best of health,
      Dr. Hyman Staff

  54. Paul.E August 19, 2014 at 9:27 pm #

    My doctor has just told me I need to starve myself (fast) for three days first to help kick-start my liver into reducing the fat it has in it.
    Is this recommended?
    Or should I keep eating normally but follow the dietary advice as outlined here?

  55. yvette navas September 8, 2014 at 3:13 pm #

    My daugher is 13 and my sister is 17 and they both have bad acne, any suggestions in how to get rid of it through

  56. queenofklutz September 11, 2014 at 3:08 am #

    I’ve been diagnosed with fatty liver last 2012 and its so hard for me to find the proper food to intake and to take my diet seriously because I weigh about 79kg, which leads me to undergoing several laboratory tests regularly.

    I’m still hoping to get cured, I’m young, so I went back to having a diet no matter how difficult it is and i also exercise now. I walk about 1 hour a day, since my work is walking distance from my home.

  57. Diane September 16, 2014 at 2:16 pm #

    This information is great. I want to let people know I had fatty liver that was so bad I was unable to sleep at night. I was given prescriptions by my doctor that had little to no effect. I also took supplements that were not very effective. I found http://www.livermedic.com and took Hepatiben. That made a difference. I still agree with those who think this is a diet problem, but it appears to me that it is triggered by my poor gut health. I am feeling much better now. Not to have a conversation about candida buildup is also a mistake. That has a lot to do with it in my experience.

  58. Mohammad Haroon October 6, 2014 at 6:02 pm #

    I also have fatty liver and i used olive oil but i love sweets that was the main cause of my fatty liver . So can i eat orange or apple in the place of sweets ? because these fruits also have high concentration of sugar but it has fructose sugar that is different than normal sugar that used in sweets.

  59. Lynn October 19, 2014 at 3:03 am #

    I have been recently diagnosed with a fatty liver and I was terrified at first, not knowing anything about it. It was good that I was scared and didn’t decide to ignore it like many people do: in the end, even though it’s dangers are sometimes decades away, they are still there and one should try to fix it before it gets worse. It’s just some exercise, losing weight and eating carefully that is needed for a huge improvement, and I am still shocked to see that many don’t consider it worth doing.

  60. Kristina October 27, 2014 at 10:00 pm #

    I have also been diagnosed with moderate adrenal fatigue. My cortisol is non-existent in the afternoon and spikes during the night. How will eating this way for my liver affect my adrenals? Can I try to repair both at the same time?
    And being a woman over 40 I have to ask, should I be careful with cruciferous? I’ve heard they can be goitrogenic.

    Thanks!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff November 1, 2014 at 9:18 am #

      Hi Kristina,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  61. Narine November 3, 2014 at 11:29 am #

    My 8 years old son is overweight and is diagnosed with fatty liver. what should I do to help him be fit and healthy, since he is a child and not always cooperates with me

  62. Dafna November 3, 2014 at 10:29 pm #

    I have read that 30 o/o of women that take Tamoxafin ,for breast cancer, develop fatty liver. I don’t drink alcohol, hardly eat sugar or bread. My diet have been mostly fish vegetables and almond.I eat very little fruit. I took the drug for six years and no one brought up the possibility of developing fatty liver. I have been traveling for the past three months and didn’t excercise much. I know it is important and I try to do it daily for an hour. My concern is my diet. I don’t know what need to be changed.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff November 7, 2014 at 6:34 pm #

      Hi Dafna,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  63. Ana November 5, 2014 at 4:39 pm #

    I was diagnose with fatty liver, but I don’t fit the profile…I’m Latin, 42, 5’6″, 128 lb, don’t drink, alcohol nor sodas, don’t smoke, eat junk food every once in a while…I do like sweets, but nothing too crazy… The more I read about it, the more confused I get. I eat lots of fruits and veggies, specially the ones mentioned in this article…I don’t need to loose weight, I’m already doing what I’m supposed to. I guess genetics are to blame on my case…but I will never know because I’m adopted…

  64. Nancy Guertin November 15, 2014 at 2:36 pm #

    Son diagnosed with fatty liver with alcohol involved. Is on dialysis to keep kidney function he has. Was looking at diet restrictions and thought wow the foods good for liver are limited in kidney diiet because of potassium levels needing to be monitored. Is there a common ground

  65. KB November 19, 2014 at 6:32 pm #

    Was just diagnosed with fatty liver disease. The doctor doesn’t seem too concerned with it and just tells me to eat a healthy diet and exercise, etc. However, I am still concerned. Will the liver damage reverse itself if I maintain a healthy diet and exercise regularly. I did gain an enormous amount weight in a short amount of time which is not like me. The doctor told me to stay away from alcohol and Tylenol anything that may damage the liver. I do have a question in regards to that don’t drink that much but would an occasional glass of wine be ok? Also, what signs should I watch out for if it my liver is getting worse?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff November 22, 2014 at 12:33 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  66. Mark Shooman December 3, 2014 at 8:09 am #

    I put on a good amount of weight and was drinking pretty heavily over the past few years. I’d been having high ALT levels (around 45) and at its worst, 6 months ago, it was 57 and an ultrasound revealed the beginning of fatty liver. I changed my diet entitely (no sugar, dairy, soy, wheat, alcohol or caffeine) and lost 40 pounds over the past 4+ months. My last test a month ago revealed an ALTERNATIVE level of 22 and I thought I was out of the woods. I started drinking again (too heavily) even though I’m maintaining everything else about my improved diet. It just occurred to me that even though my ALT levels dropped considerably I still may have fatty liver, right?

    The real question is: if I stop drinking now…and my next blood test reveals a low ALT level, does it stand to reason that my fatty liver may have completely improved? Or has 6 weeks of heavy drinking condemned it to return, or possibly develope into cirrhosis?

    Thank you!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff December 6, 2014 at 4:55 pm #

      Hi Mark,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  67. Jenny castle December 8, 2014 at 2:09 am #

    From what i read some people have both fatty liver and diabetes what kinds of foods should they eat

  68. Jenny castle December 8, 2014 at 2:18 am #

    what about oats and oat meal for breakfast for people with fatty liver and diabetes

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff December 13, 2014 at 7:21 pm #

      Hi Jenny,
      If you choose to eat oatmeal for breakfast, choose a small portion (1/2 cup) of steel cut oats and top it with chopped walnuts and ground flax seeds for additional protein and fiber. While oats are an excellent source of soluble fiber, the quality and portion size are important in controlling your blood sugar.
      Wishing you the best of health,
      Dr. Hyman Staff

  69. Jenny castle December 8, 2014 at 2:19 am #

    what about eggs

  70. sohail December 17, 2014 at 9:45 am #

    Dr my name is sohail from Pakistan. last 3 years my ALT level 55 to 65 range also diabetic patient also fatty liver. blood sugar range 135 to 150 fasting. kindly suggest me what i can do? plz dr reply me

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff December 26, 2014 at 11:37 am #

      Hello Sohail,
      Dr. Hyman’s Blood Sugar Solution 10-Day Detox Diet program would be an excellent way to improve your blood sugar and your health. The nutrition guidelines are very detailed and includes a variety of whole foods to support your health and healing. For additional information, please see http://10daydetox.com/successfuldetox/.
      Wishing you the best of health,
      Dr. Hyman Staff

  71. arun December 19, 2014 at 1:57 am #

    hi ..I am ARUN..I went for the general test and find out that my lever test like ast /.alt are not normal..My doctor told me that i have a fatty lever..i take alcohol ocassionly only..i do not take heavy meals..how can i make my lever normal

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff December 26, 2014 at 12:26 pm #

      Hello Arun,
      The best place to start is to eliminate alcohol, foods high in sugar, and refined carbohydrate foods (flours, pasta, and sweets). Following a healthy diet will help you recover the most quickly. Please see Dr. Hyman’s 10-Day Detox and Blood Sugar Solution programs for additional guidelines at http://store.drhyman.com/Landing/10-Day-Detox-Diet.
      Wishing you the best of health,
      Dr. Hyman Staff

  72. Tammy December 21, 2014 at 9:25 am #

    What is an alternative sweetener I can use for my coffee in place of sugar?

    Tammy

  73. Karen December 22, 2014 at 12:41 am #

    I’ve been diagnosed with a fatty liver. I’ve been drinking smoothies for breakfast with kale/spinach/cabbage/green apple and some strawberries in purified water. I drink water with organic lemon juice, or apple cider vinegar (Braggs). I don’t drink pop anymore. I do eat some carbs, I’ve tried to incorporate more nuts (walnuts, almonds, pecans, cashews – all raw) as my snacks and sometimes my lunch. I also take plexus products, slim, xfactor, biocleanse, and probio5 and block, I also take milkthistle, artichoke extract. Slim and biocleanse have some of the ingredients you mention above. Some of these products actually detox, especially the probio5 which is a probiotic with an antifungal. Candida releases up to 79 toxins when it dies, there is brown seaweed extract in block, and that can detox heavy metals out of your body. My question is, can detoxing your body of toxins and heavy metals increase your liver enzymes?

  74. Lori December 29, 2014 at 9:34 pm #

    I have fatty liver and type 2 diabetes. I have read that both are reversible and I have been changing my diet and changed my regular 3 day per week exercise routine to a vigorous daily exercise. I started this about a month ago and lost 10 lbs right away but not one ounce since and my vigorous exercise seems to be causing my blood sugar to soar. I am so confused and frustrated. Will this settle down? My friend thinks I’m exercising too much. Is that possible? I am 53 years old and I work out for about an hour and a half 6 days per week.

  75. mike Smith January 5, 2015 at 1:42 pm #

    I had fatty liver and high triglycerites low hdl etc. Thanks to the internet and not my Gp I went onto a low carb high fat diet and have never looked back. Lost loads of weight. Triglycerides more than halved. Liver healed. Hdl went up. I am amazed how well I feel. I never get ill. Loads of energy and I eat real food. Proper butter, plenty of meat and veg. NO BREAD NO PASTA NO POTATOES NO BEER. try it yourself for 2 weeks.

  76. GM January 7, 2015 at 9:53 pm #

    I had been diagnosed with a fatty liver for a couple of years but when my liver enzymes wouldn’t budge, I went to see a gastro specialist (thankfully with one of the best doctors in the country at Duke). They advised the same, reverse whatever your cause is and avoid HFCS. I was drinking Starbucks every single day for years. I’m not stupid, I knew it wasn’t good for my health but I didn’t realize to what extent. That has HFCS in the syrup used in my drink and also the whipped cream. Even though I cut the amount of ‘pumps’ in it, that wasn’t enough. I was diagnosed with Stage 3 NASH with being so close to Stage 4 (cirrohsis). I immediately stopped SB and upped my exercise (was already doing that 2-3 times a week, now it’s 4-5 times a week). Within 2 months, I dropped 20 lbs and my liver enzymes are almost back to normal, my cholesterol under 200 and my A1C at 5.8 (it’s never been below 6 on Metformin)! I go for an MRI to check for liver cancer and I’m curious to see if any healing can be seen yet. I feel amazing. I also feel duped about how HFCS is not regulated since it’s not an acute toxin. I’m angry that I poisoned myself for so long and people just don’t know how serious this is. Not all specialists are the same either. They may not see fatty liver as that serious since it’s so common now. Trust your gut, be your own best advocate!

    HFCS is in everything, right down the bread crumbs I was using. Remove anything that included corn syrup and fructose on the label. Your body will thank you! Try visiting other blogs like Food Babe and DieticianCassie, they are great resources (not affiliated with them, I just found them highly useful as well as this blog).

    Tammy – for an alternative to sugar, I use Sweetleaf (stevia). You can get it at Whole Foods, Amazon. Don’t be fooled by something like Truvia which isn’t pure stevia, it’s mixed with dextrose. Coconut palm sugar is another good alternative as well but I use stevia as that works best for me.

  77. Phyllis January 9, 2015 at 3:14 pm #

    My doc has diagnosed me with a fatty liver, telling me that the overwhelming and sometimes debilitating nausea I feel is caused by this. This nausea is so strong at times that I have to lay down. She has told me that the ONLY thing I can do about it is to lose weight….. I also have PCOS, Diabetes (type 2), fibromyalgia and BiPolar. I am finding that loosing weight is almost impossible no matter what I try. Any Ideas on what I can do about any of this?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff January 9, 2015 at 3:16 pm #

      Hi Phyllis,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  78. Brian January 11, 2015 at 11:58 am #

    I’m confused… Can I have fruit or not? I eat fruit every meal and I notice some people say that fruit and fruit sugars can in fact be bad for the liver. And the “Fatty Liver Diet Guide” has carbs all over it. I’ve been diagnosed with a fatty liver and I’m exhausted most of the time, I get dizzy. This has been going on for a year and I’ve been to the dr more in the last year than I have been in my entire life. I’m really frustrated and nobody seems to be clear on what to do. I work out everyday and eat nothing but fruit, veggies. Isn’t fish high in iron? I guess the question is, do I eat kale and cabbage every meal for the rest of my life or is that bad for me too? I’m really confused by all of the information that’s out there.

  79. Adrianne January 15, 2015 at 9:54 am #

    I have been diagnosed with NAFLD. I am also considered morbidly obese and had gestational diabetes when pregnant with my daughter. Would doing something drastic like having lap band surgery be appropriate, or is that too much of a shock on my system? Would that, in conjunction with the other lifestyle changes mentioned above, correct my NAFLD?

  80. Tracy Myers January 16, 2015 at 5:59 pm #

    My daughter in law has NASH stage 3. She is very young so in addition to eating healthier what are some supplements that you would recommend to help stop the progression of the disease?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff January 24, 2015 at 7:23 pm #

      Hi Tracy,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide your daughter the proper care she needs we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. If you would like information on becoming a patient at The UltraWellness Center, please see “How to Become a Patient” at http://www.ultrawellnesscenter.com/becoming-a-patient/. You may also feel free to call The UltraWellness Center at (413) 637-9991.
      Wishing you and your family the best of health,
      Dr. Hyman Staff

  81. anthony January 23, 2015 at 11:52 am #

    I just started eating healthy (2 weeks now). I was diagnosed with fatty liver via ultra sound, high blood pressure (150/105), high cholesterol of 248 and high triglycerides and I weigh 273 on a 5’11’ frame and blood sugar of 6.1. I was told by a group of Doctors (students in rotation with my personal physician) that I need to make changes or I could be dead or on serious meds within 6 months.

    Flash forward 2 weeks. Ive been on Dr Oz’s Total 10 day diet now for 2 weeks now and I feel better. For my daily snacks, I eat an apple and a “lara bar” (a snack bar).

    I came from a diet consisting mainly of pizza, bacon double cheese burgers, pulled pork sandwiches, fried filo dough type appetizers, sausage egg and cheese biscuit sandwiches, tons of Reese’s Peanut Butter Cups mashed into big bowls of ice cream. Well I think you get my point.

    Anyways, I am taking control over my health and my future and plan to reverse my fatty liver, lower my cholesterol and reduce my bp. I am now on high blood pressure meds until I can come off.

    My question is – the “Lara Bar” snack bar version I eat has peanuts, almonds, dark chocolate pieces and uses “brown rice syrup” to bind it together. Is this “brown rice syrup” ok or does that fall in the family of “corn syrup” and should be avoided?

    I really wish I can convey how happy I am knowing that the foods im eating now are making a difference to my insides. Thanks!

    Anthony

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff January 24, 2015 at 6:45 pm #

      Hi Anthony,
      Congratulations for taking charge of your diet to change the course of your health! Lara bars are a good choice over processed foods with high fructose corn syrup. Try the original Lara bars made with only nuts and dried fruit to kick up the quality of your snacks even higher.
      Wishing you the best of health,
      Dr. Hyman Staff

  82. anthony January 23, 2015 at 12:06 pm #

    Is brown rice syrup ok ? I eat a snack bar that uses this to bind the ingredients together. Thanks

  83. Kathleen January 25, 2015 at 8:48 am #

    You mentioned eating especially things in the broccoli family. I recently found out I have a fatty liver and I also happen to have an ovarian cyst. A good friend recommended I try a supplement called DIM (specifically from a study done at UC Berkley) because there’s some indication it can help reproductive type problems. Do you know anything about it being harmful and/or effective in regard to the liver? It appears that the supplement is made up of components from the broccoli family. I’d appreciate any thoughts. Thanks.

  84. Candy January 25, 2015 at 9:28 am #

    Weight is not the only issue that causes ‘fatty liver’. I have a niece just diagnosed with fatty liver and she is a size “0”. No fat on her body. But I have fatty liver and am about 30 lbs over weight. However, I have a MTHFR gene problem that is +/+ A1298C. This is probably contributing to my fatty liver. I am testing genes and expect to find metabolism problems too.

    I read an article about dogs and fatty liver. They were able to make it go away with Choline. But I have no idea how that pertains to humans or what the side affects might be. Any advise, Dr. Hyman? I would never try something with out a dr recommending but no one seems to know about this stuff.

  85. Candy January 25, 2015 at 9:59 am #

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601486/

    Our diets are free from choline and it was done to lower cholesterol. Now they are looking into what has happened in other areas as a result.

    Weight is not the only issue with fatty liver. But it contributes. Get the weight off and then evaluate.

  86. faty January 26, 2015 at 6:19 am #

    The Fatty Liver Bible was written by Debra Elkin, and is based on the work of Jacob Ezra and the resulting Ezra Protocol. Ezra put over 25 years of research into developing his methodology for reversing the effects of fatty liver and obesity. The “bible” teaches fatty liver sufferers Ezra’s 5-step plan for losing weight and returning their liver enzymes to normal levels.

    The Importance of Liver Health

    Liver health is crucial to a person’s overall health, and the liver is oft regarded as one of the most crucial organs in the body, right up there with the brain and heart. One of the tricky things about liver problems is that there are very few warning signs that they are developing. There are very few nerve endings in the liver, so even a failing liver will not produce a tremendous amount of pain. Many people suffering from severe liver problems do not experience any symptoms at all. As liver health is so closely linked to overall health, it is important that any problems with the liver are treated right away to avoid permanent damage.

    In an impaired liver, toxins filtered from the body are allowed to build up, at which point the body will actually be poisoning itself. An individual with an impaired liver will often start to gain weight, and if adequate medical care is not given, the liver damage can lead to cirrhosis or cancer.

    A Comprehensive Holistic Approach

    Luckily, fatty liver is reversible, and thanks to the work of Jacob Ezra, there is now a proven method for returning your liver to optimal health without dangerous drugs or surgery. In The Fatty Liver Bible Debra Elkin goes into great detail in describing the foods that support optimal liver health as well as those that threaten it. A fatty liver is not able to produce certain digestive enzymes, one of which is the enzyme that digest fructose, the natural sugar found in most fruits. For this reason, even though they are considered healthy foods, certain fruits, that can exacerbate the damage caused to the liver. Instead of being digested and used for energy, the fructose is stored as fat in the liver, worsening the condition. In The Fatty Liver Bible there are comprehensive lists of foods to eat for liver health as well as the foods you should avoid at all costs.

    READ MOREhttp://bit.ly/1zI0e1e

  87. Augustmae January 28, 2015 at 12:56 am #

    I had a heart attack In December 2013 at 35 yrs old. Already diagnosed with type 2 diabetes. I’ve been on a live style journey since my heart attack and lost 84.9 lbs so far. I had high liver enzymes with my latest Blood work and so i had an ultrasound. Found out have nafld. I feel defeated. I’ve worked so hard to turn things around. Now I’m trying to figure out how to reverse or at least stop the progression of the nafld. I’m wondering if i had it all along and this Was the Causer of developing type 2 and then lead to my heart attack. What can i do now. Is a low carb high fat eating plan what i should be looking towards?

  88. Lauren Marshall February 2, 2015 at 3:19 pm #

    I have been diagnosed with fatty liver. I also have insulin resistance and I am recovering from pancreatitis. I started following the Bulletproof Diet to try to improve my insulin resistance, but I feel horrible. Should I be eliminating butter and red meat from my diet?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 7, 2015 at 10:23 am #

      Hi Lauren,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  89. vikas February 3, 2015 at 12:35 am #

    hiii…
    last year i had some problem in digestion. my digestive system was weak that time. then i consulted the doctor. she asked me to have ultrasound. i was diagnosed with fatty liver grade 1. after she asked me to go with LFT(LIVER FUNCTION TEST). All parameters were with in limits. actualy i was over weight that time. i reduced 10 kgs with exercise and condition came to ok. but now in winters i quit from exercise routine and i again feeling pain in upper abdominal..
    please suggest something…

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 7, 2015 at 10:47 am #

      Hello Vikas,
      We recommend that you visit your doctor to get the care that you need. Your doctor can assess your symptoms and run labs to diagnose the source of your abdominal pain.
      Wishing you the best of health,
      Dr. Hyman Staff

  90. Rocky February 10, 2015 at 1:56 am #

    What does Dr. Hyman think about Metformin?

    Metformin didn’t help Children with NAFLD:
    http://www.medscape.com/viewarticle/731928

    But Metformin did reduce serum levels of lipids and glucose:
    http://www.ncbi.nlm.nih.gov/pubmed/19811343

  91. Rocky February 10, 2015 at 2:15 am #

    Dr. Hymen mentions milk thistle, ALA & NAC to boost GSH (glutathione).

    What does Dr. Hyman think about the addition of
    S-Adenosylmethistle (SAMe) to replenish GSH levels and restore liver cell protection to normal?

  92. Rocky February 10, 2015 at 2:32 am #

    Also, Xanthige (brown marine algae fucoxanthin + pomegranate seed oil (PSO)) has been shown in a study to reduce liver fat:
    http://www.ncbi.nlm.nih.gov/pubmed/19840063

    Has Dr. Hyman tried this in his clinical practice yet?

  93. Heidi Leavitt February 10, 2015 at 10:27 pm #

    Hmmm. I have been diagnosed with fatty liver. I have been gluten free for 3yrs, no soda for 3yrs, no sugar as I get very ill from it since I was 18. I cook from scratch. Mostly meat, fish ,poultry, veggies , rice and fruit. I dont drink alcohol.
    5 yrs ago diagnosed with her2nue breast cancer and under went 14months of chemo. I believe the fatty liver is a result of that and all the steroids . I have been cancer free for 3yrs and 3 months. I am overweight and have had a difficult time losing weight. I eat healthy and am very frustrated as the pain in my side back is more frequent. Help!

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 17, 2015 at 12:02 pm #

      Hi Heidi,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  94. JackieJ February 11, 2015 at 9:02 am #

    My ALT was 61 in 2013 & my doctor has not checked it since. I asked for her to check it again & she said she wanted to know my family history which I had already given her. My paternal grandfather died of cirrhosis & my father has had high liver enzymes. She told me my insurance will not pay for it possibly, but I feel like it was pretty high & should definitely be checked again. I am currently dealing with extreme fatigue, Hashimotos, chronic hives on & off due to the high thyroid antibodies, raynauds syndrome & body pain & headaches. Could fatty liver cause auto immune issues? I just want to feel better. I am 50 years old & feel much older. Thank you.

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 17, 2015 at 11:46 am #

      Hi Jackie,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  95. Rebecca C. O'Hare February 13, 2015 at 10:20 pm #

    While I was being ‘ultra-sounded’ for large fibroids in my uterus and around my uterus, the technician said out of the blue: “You have a fatty liver”.
    OK.
    The problem with HMO’s is that they never drop the other shoe.
    What do I DO about the fatty liver?!!
    I’m looking at doing a raw foods diet. Your suggestions above are welcome.
    I’d wondered about supplements.
    So, whereas I was going to drop the eggs and cheese, I can see now I have to drop the starches I love.
    I should love my liver more. Reminds me of a thing my Dad used to say: “If I knew I was going to live this long, I’d have taken better care of myself”.
    Thanks.

  96. Corey Harlson February 18, 2015 at 6:20 pm #

    Good day to ya. I have had a swollen abdomen for over two years. I originally thought it was a bruised rib. And I am very active and thought it would heal. I brought it up with my physician but it did not raise a concern. Well now my enzymes are out of control, I have been diagnosed with diabetes.And it HURTS. There is obvious swelling,it is even visible when dressed. I only have coverage through the V.A. and am concerned they will continue to drag there feet in treatment. What can I do on my own to help it. I do not drink alcohol. Please advise, Thanks

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 19, 2015 at 2:23 pm #

      Hi Corey,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  97. Debbie D. February 19, 2015 at 2:41 pm #

    Hi –
    On my blood work last fall, my liver enzyme numbers were high,although my triglycerides were within the normal range. My doctor has me on a low fat/low sugar diet to get my numbers back in line, including eliminating fruit, particularly bananas, for the time being. She has also recommended to me to use honey in my tea rather than artificial sweeteners. I’m not a huge fan of using the honey and am wondering if using stevia is considered a natural sweetener like the honey is, or is it also considered an artificial sweetener?

    Also, why are bananas considered less healthy as you age? I had previously been having one daily.

    Thanks!

  98. Natasha February 20, 2015 at 11:35 am #

    Hello,

    I am a 38 year old woman who has always be very healthy and never had to take any medication before. I have about 20 pounds to loose but workout 3 times of week. I used to drink about 4 glasses of wine a week and I eat very well. I went for my annual check in May 2014 and my liver enzymes were a little higher than normal. A few weeks later, I had another blood check and they went up again.

    I reduced my drinking (which was already not that much) and stopped taking advil and Tylenol just in case it was the cause. I had other blood test to eliminate other problems/diseases such as: Hep A, B, C, autoimmune Hep, aids, RA, Lupus, Lymes, Meningitis, etc…… All came back normal.

    I then had an ultrasound, which came back ok as well. I was then suggested to have a biopsy. I was scared but wanted to finally know what was wrong. Everyone told me that it was probably fat in my liver (NASH or NAFLD). When I met with the specialist to get the results, something was wrong with my liver but none of these things. I was diagnosed with PBC (Primitive Biliary Cirrhosis). I was not happy and really scared. I was told that she wanted to discuss with someone else to see if I should take medication now. Since this is an autoimmune disorder that seems to be attacking my liver, I would have to take medication to keep the canals open for the rest of my life. I have lots of questions and she is gone for the next 2 months. I am still waiting to hear back from her. Have you ever heard of this disease of the liver.

    In the meantime, I am trying to eat the less fat possible and only have 1-2 drinks per week but I have no idea if I should be stopping all together. She told me that I was at the very beginning of the disease and that my liver is functioning very well and no cirrhosis has started. Any advice for someone who is really scared and do not really know what to do while waiting for her to come back to the office?

    Thanks

    Natasha

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 25, 2015 at 3:03 pm #

      Hello Natasha,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/.
      Wishing you the best of health,
      Dr. Hyman Staff

  99. Cheri N February 20, 2015 at 3:24 pm #

    Hi. I have been having severe pains, bloating, unexplained weight gain…. Finally had a CT scan of abdomen this am and they confirmed I have a fatty liver…. BUT, I don’t eat HFCS, I do occasionally have gluten &/or sugar but for the most part eat clean. Meaning that ALL of the above I’m already doing (with exception of supplements, I stopped for a time and have recently reintroduced) what could cause this and what can I do to help if I’m already eating what. I should??

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff February 25, 2015 at 3:01 pm #

      Hi Cheri,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.

      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. Please go to: http://www.ultrawellnesscenter.com/becoming-a-patient/

      Did you know you can work with Dr. Hyman’s nutritionists virtually? For personalized nutrition coaching where you can receive 1:1 support with Registered Dietitians, please see: http://store.drhyman.com/Store/List/Coaching-Programs.
      Wishing you the best of health,
      Dr. Hyman Staff

  100. Nathaniel Hall February 21, 2015 at 7:39 pm #

    Can you reverse stage 1 liver Fibrosis

  101. John February 26, 2015 at 7:50 pm #

    I asked my Doctor, why does my right side hurt after I eat, he said that’s digestion. lol
    Well I figured out that it’s fatty liver and have been eating things for a long time that should help it but it doesn’t go away. Most of the things listed on this site I’ve been doing. (including B12 and curcumin)

    Oh for the guy that had his Doctor say fatty liver is no concern… well I had a heart attack from it so I know better. BP can spike from it at anytime and the only way i can deal with it is taking 0.5mg of Kolonopin.

    In my case i know exactly how i got fatty liver, 4 months of eating pancakes in the morning with High fructose syurp on it. The other week I found a study a Doctor did that proved fructose caused liver damage in 3 to 4 months.

    There should be a class action lawsuit against the makers or fructose, every food with it should be labeled causes liver damage and heart attacks.

  102. Beverly March 11, 2015 at 9:13 pm #

    I was recently diagnosed with fatty liver by ultra sound. They gave me a call to say I needed to change my diet, more exercise, lose weight, low salt, and no sugar. The problem is I have Lupus which attacks all organs. I am waiting for them to decide if in fact I need a liver biopsy to determine the exact cause. If it is from my Lupus, which has already scarred my kidneys, then what are my options? I am very interested to hear from you and discuss my options. Sincerely, Beverly
    Please email me for my contact information.

  103. Md. Mashiur Rahaman March 12, 2015 at 3:44 am #

    Hello sir, I am a patient of NAFLD. My HBs,Hcv both are negative. Fibroscan result medium stiffness 7-1 kpa. NAFLD F2 result 7.1-8.1 is it dangerous or repair possible??? Answer please..

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff March 17, 2015 at 5:51 pm #

      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      Wishing you the best of health,
      Dr. Hyman Staff

  104. Rach March 20, 2015 at 7:34 pm #

    If totally changing diet eating only healthy choices (veggies, fruit, lean meats, etc.), can the liver get rid of fatty liver in 5 weeks? I had sever pain under my right rib, went to ER, was given 18mg of morphine to get the pain under control, CAT scan was taken, and hospital documented I had fatty liver. Five weeks later, pain still there, but not as bad, so a MRI was done, and everything was normal. Liver showed no evidence of fatty liver.

    I am puzzled and would like to know what is possible concerning the liver regenerating itself OR if one of the readings may not have been correct. The pain unfortunately is still there. Mother had NAFLD and got cirrhosis of the liver. Thank you!

  105. Patty March 22, 2015 at 1:44 pm #

    Thank you for this information. I noticed in the fall on 2014 that I was an increase of flatuence and burping, so I requested a test to determine, if my gall bladder was handling the fats, correctly. Per dr., maybe a fatty liver, so I’ll begin with your suggestions, today. What about a liver cleanser, or is the Lipoic Acid the same?

  106. Parie March 23, 2015 at 7:35 pm #

    I have Hashimotos. I am 64 y/o, 120 lbs, 5-4 ht. I eat organic, low healthy carbs, lots of good fats, low fruit, organic meats. I exercise modestly. My ALT was around 22 since my diagnosis of Hashimoto’s eighteen months ago. It is climbing now is up to 27. I do have a Heterozygous MTHFR of A1298C. Is an ultrasound indicated for a diagnosis? Have started on milk thistle and NAC. But don’t understand what I have not been doing right. Any insights?

    • Profile photo of Dr. Hyman Nutrition Staff
      Dr. Hyman Nutrition Staff April 4, 2015 at 6:03 pm #

      Hello Parie,
      Thank you for your interest In Dr. Hyman’s work. Unfortunately he cannot provide you personalized medical advice in this forum. In order to provide you the proper care you need we hope you will seek the attention of a local qualified Functional Med practitioner soon. To locate a doctor near you who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/practitioner_search.aspx?id=117 and scroll down to where it says “locate a practitioner” and enter your location. Progress accordingly from there.
      You can also make an appointment to be a patient at Dr.Hyman’s UltraWellness Center in Lenox, MA. If you would like information on becoming a patient at The UltraWellness Center, please see “How to Become a Patient” at http://www.ultrawellnesscenter.com/becoming-a-patient/. You may also feel free to call The UltraWellness Center at (413) 637-9991.
      Wishing you the best of health,
      Dr. Hyman Staff

  107. Donna March 25, 2015 at 1:42 pm #

    This fatty liver disease sounds very similar to the autoimmune hepatitis that I have. Are the two diseases related because frankly, if all it takes is diet (and exercise) to heal my liver I can do that. I’ll do whatever it takes to finally get off the prednisone I now have to take.

  108. Glenda April 3, 2015 at 11:11 pm #

    I WAS DIAGNOSED WITH FATTY LIVER AFTER A BLOOD TEST in January 2015. I then went on to have an ultrasound of the liver. In Australia they do kidneys, liver, spleen, pancreas and gall bladder in the one ultrasound. Wow I found out I had lots of gallstones in my gall bladder and I have never had an attack. Early Feb I had the gall bladder out and then was told to go on a low fat diet no mention of sugar, no alcohol, no caffeine, lose weight and exercise more. Just had my blood test redone and the levels have dropped but not to the safe level. Both the Dr and the specialist said it cannot be done in 2 months, retest in 2016.I have also an underactive thyroid( medicated) so cannot eat lots of those leafy greens mentioned. We do not have a lot of corn syrup in Australian foods. I have done all those things and lost 4 kgm in the first 2 weeks and now have plateaued. Not sure what else I can do to lose more weight unless I exercise like a maniac which cannot be kept up. We already eat a lot of fruit and vegetables and grow some ourselves. No butter, no margarine, dairy is all low fat, I make my own yoghurt. Decaf coffee and tea 2 cups a day and no alcohol or soft drink( soda). It is Easter and I will be having some chocolate and hot cross buns then back to it. Has anyone found a solution that helped them?

  109. Linda April 7, 2015 at 12:56 pm #

    I don’t eat any sugar that I know of. I do use honey in my tea in the mornings. I eat fruits and veggies, fish, chicken, liver or pork chops. I eat eat bread very rarely. I don’t eat any “white” foods like flour or rice. I do use Quinea some times. I don’t eat any processed foods either. I rarely eat any sweets. But…my doctor says that I have a very fatty liver. I don’t know why that would be since I believe I am eating the right way. Would you please tell me what you think? I would appreciate your advice.

    Thank you,
    Linda

    • anthony April 8, 2015 at 2:46 pm #

      Linda – I highly recommend a complete change in your diet – start by doing the Dr Oz Total 10 diet and Dr Hyman’s Detox Diet.

      They absolutely work!

      Anthony

  110. anthony April 8, 2015 at 2:45 pm #

    See my post above – anthony January 23, 2015 at 11:52 am

    Here is my update!

    I am proud to say I now weigh 239 lbs, I have been exclusively on Dr Oz’s Total 10 Diet and Dr Hymans Detox Diet (they are very similar). My cholesterol is now 156, triglycerides are now 140, my cardiologist took me off my high blood pressure meds, and feel FANTASTIC, I look FANTASTIC, I sleep FANTASTIC! I still have more weight to lose, but its not about the weight for me, its more about the health. Best of all, I actually have a cheat meal once a week and it does not impact my health goals. I HIGHLY RECOMMEND DR OZ AND DR HYMAN’S diets!

    Anthony

  111. DEldridge April 14, 2015 at 12:27 pm #

    How does Alpha-1 Antitrypsin affect your liver, can exercise and healthy eating help repair any damage from AAT?

  112. Timothy Croom April 20, 2015 at 3:33 pm #

    Thank you for the information published on your site, in particularly the information published on “Do You Have a Fatty Liver? 90 Million Americans Do!” I was diagnosed via cat scan ( The scan was checking for something else) of having a fatty liver and my doctor told me at the time to lose weight get in shape or start planning for my funeral (probably the best advice I ever received). That was in January, I am now 53 lbs lighter (3 months later still 23 short of my goal but I will get there, weight is still falling). I personally consider the supplements suggested key to not only my weight loss but I believe kick starting my metabolism. I went on a very strict low carb diet, but also used all of your supplement suggestions. I go back and see the doctor in a couple days, but this page had such key information that is really hard to find on the web from an authoritative source. I will never again willfully put high fructose corn syrup(HFCS) in my body (on another of your pages) but substantiated elsewhere on the web to include my MD son in law. I now consider HFCS a slow poison. But I do believe (unsubstantiated) that your advice may well have changed my future. At 59 years of age, lifestyles are hard to change, but the advice on your site has changed my life. THANK YOU! You are making a difference!

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