How to treat fatty liver? Scientific weight loss and dietary adjustments are key.

Fatty liver disease is a condition characterized by abnormal fat metabolism in the liver. The liver is the primary site of fat synthesis, transport, and utilization, but it does not store large amounts of fat. In normal individuals, the total fat content in the liver accounts for approximately 3%–5% of the liver's wet weight, mostly phospholipids, with very low levels of triglycerides, fatty acids, cholesterol, and cholesterol esters. When liver fat synthesis increases, breakdown decreases, or transport is impaired, fat accumulates excessively in hepatocytes, leading to fatty liver. In patients with fatty liver, the total fat content in the liver can reach 40%–50%, primarily consisting of triglycerides and fatty acids. Normal liver fat metabolism is regulated by many factors, such as alcohol consumption, medications, endotoxins, tumor necrosis factor (TNF), inorganic integrative substances, high-fat diets, hormonal changes, and total parenteral nutrition. The influence of these factors should be considered during the treatment of fatty liver. Treatment methods for fatty liver include:

Etiological treatment: Alcoholic fatty liver can be effectively treated by abstaining from alcohol and providing a sufficient protein diet, which can reduce the accumulation of fat in the liver. Fatty liver during pregnancy should be diagnosed as early as possible, and pregnancy should be terminated in a timely manner. Patients with protein-deficient malnutrition should supplement their nutrition, especially protein. For patients receiving total parenteral nutrition, the duration should be shortened as much as possible. Obese and diabetic patients should lose weight, which should be planned and mainly achieved through exercise and dietary adjustments. Sudden weight loss should be avoided. Long-term, high-dose use of corticosteroids should be avoided as much as possible.

Dietary therapy: Dietary therapy is one of the important measures in the treatment of fatty liver. The diet of patients with fatty liver should be high in protein, with appropriate amounts of fat and carbohydrates. Patients with fatty liver caused by obesity should start with dietary restriction. The amount of calories supplied mainly depends on the original level of physical activity, and severe negative nitrogen balance should be avoided.

Exercise therapy: Appropriately increasing the amount of exercise is very beneficial for the treatment of fatty liver. Exercise can increase fat consumption and reduce weight. For example, walking 12 kilometers in 2 hours can have a weight loss effect. Of course, too little exercise won't achieve the goal of weight loss. You can also use fitness equipment or other auxiliary equipment during exercise to reduce the accumulation of body fat. If you can reduce your weight to a healthy level within 5 months, fatty liver can disappear.