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<blockquote data-quote="JoKalsbeek" data-source="post: 2676862" data-attributes="member: 401801"><p>Hi Chris,</p><p></p><p>Sheesh, you've dealt with quite a bit, but you sound like you're ready to take this on. Okay, so... The non-alcoholic fatty liver disease is, as Dr. Google likely informed you by now, part of Metabolic Syndrome, and yes, blood sugar control should help with that, and practically all other components of that condition. Mind you, most specialists, and I am assuming that would then go for a GP too, believe there is nothing to be done about NAFLD. Case in point, the specialist told me that he'd see me again when I needed pain management for palliative care. According to that guy I had a date with a casket 6 years or so ago. It's low carbing that mended my liver and its function within a matter of months, though I took it slower than you intend to. Keep in mind that changing blood glucose rapidly can have its own drawbacks. I don't know whether alternate day fasting works for you, I don't know what you consider ultra-low sugar... But you have options, and some are more sustainable in the long run than others. Just keep in the back of your mind that your GP might not sign off on any of it, due to out-dated knowledge. Okay?</p><p></p><p>So, the "ultra low sugars", how many grams are we talking per day? Because you know it's not just sugars, practically all carbs turn to glucose once ingested. If it's 20 grams <em>of carbs</em> per day or under, you're going for a ketogenic diet, aka "keto", which would work. Lower than that, you'd be talking a carnivore diet, (only meat, poultry, fish, eggs and full fat dairy) which has its own risks. It works, oh boy, does it ever, but you have to get everything exactly right not to become deficient in certain rather vital vitamins and minerals. (And in my case, it made my urine so acidic my right kidney is a gravel pit full of stones). Scurvy is <em>not</em> a thing of the past. So if you want to make sure you still get plenty of what you need, keep to a keto diet and hug those above ground veg as well. </p><p></p><p>As for fasting, some find it easier to just go for intermittent fasting, meaning possibly OMAD, (One Meal a Day), or having two. I usually break my fast around 1 p.m. for my breakfast/lunch, and start fasting again after dinner, around 6:30. That works just fine for me, two filling, nutricious meals, and possibly could for you too. If you want to fast more rigorously, by all means, do, but know it's not the only way to do this. </p><p></p><p><a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html</a> might help some with a ketogenic diet, as well as dietdoctor.com (no need to sign up, plenty of info on there available for free). Should you want to know more about a carnivore diet, check the youtube channel by Dr. Ken Berry. He's a rather enthusiastic and knowledgable Carnivore.</p><p></p><p>Keep in mind that it's likely insulin resistance that led to NAFLD in the first place. It's a bit of a domino-effect, insulin resistance causes a fatty liver, that in turn doesn't make a pancreas happy, hello T2. Tackling the carbs should make a massive, massive difference. You've got this.</p><p></p><p>Good luck!</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2676862, member: 401801"] Hi Chris, Sheesh, you've dealt with quite a bit, but you sound like you're ready to take this on. Okay, so... The non-alcoholic fatty liver disease is, as Dr. Google likely informed you by now, part of Metabolic Syndrome, and yes, blood sugar control should help with that, and practically all other components of that condition. Mind you, most specialists, and I am assuming that would then go for a GP too, believe there is nothing to be done about NAFLD. Case in point, the specialist told me that he'd see me again when I needed pain management for palliative care. According to that guy I had a date with a casket 6 years or so ago. It's low carbing that mended my liver and its function within a matter of months, though I took it slower than you intend to. Keep in mind that changing blood glucose rapidly can have its own drawbacks. I don't know whether alternate day fasting works for you, I don't know what you consider ultra-low sugar... But you have options, and some are more sustainable in the long run than others. Just keep in the back of your mind that your GP might not sign off on any of it, due to out-dated knowledge. Okay? So, the "ultra low sugars", how many grams are we talking per day? Because you know it's not just sugars, practically all carbs turn to glucose once ingested. If it's 20 grams [I]of carbs[/I] per day or under, you're going for a ketogenic diet, aka "keto", which would work. Lower than that, you'd be talking a carnivore diet, (only meat, poultry, fish, eggs and full fat dairy) which has its own risks. It works, oh boy, does it ever, but you have to get everything exactly right not to become deficient in certain rather vital vitamins and minerals. (And in my case, it made my urine so acidic my right kidney is a gravel pit full of stones). Scurvy is [I]not[/I] a thing of the past. So if you want to make sure you still get plenty of what you need, keep to a keto diet and hug those above ground veg as well. As for fasting, some find it easier to just go for intermittent fasting, meaning possibly OMAD, (One Meal a Day), or having two. I usually break my fast around 1 p.m. for my breakfast/lunch, and start fasting again after dinner, around 6:30. That works just fine for me, two filling, nutricious meals, and possibly could for you too. If you want to fast more rigorously, by all means, do, but know it's not the only way to do this. [URL]https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html[/URL] might help some with a ketogenic diet, as well as dietdoctor.com (no need to sign up, plenty of info on there available for free). Should you want to know more about a carnivore diet, check the youtube channel by Dr. Ken Berry. He's a rather enthusiastic and knowledgable Carnivore. Keep in mind that it's likely insulin resistance that led to NAFLD in the first place. It's a bit of a domino-effect, insulin resistance causes a fatty liver, that in turn doesn't make a pancreas happy, hello T2. Tackling the carbs should make a massive, massive difference. You've got this. Good luck! Jo [/QUOTE]
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