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Low-carb and fatty liver disease

Bella365

Member
Messages
12
Hi All

After four years on metformin, have just come off the pills with a view to using low-carb diet and testing to manage my blood sugar - I was wondering if anyone also has fatty liver and whether they've found low-carbing has helped/reversed the disease?

Thanks very much!
 
What is the treatment and outlook for Fatty Liver Disease ?

Simple fatty liver usually causes no problems and rarely progresses. However, it can be a 'marker' for heavy alcohol drinking, which if continued, can cause more serious problems. Simple fatty liver may reverse and go away by stopping alcohol (if alcohol is the cause), with weight loss (if obese), or with good control of diabetes (if diabetes is the cause).

For alcoholic steatohepatitis the treatment is to stop drinking alcohol if at all possible.

For NASH, no treatment has been proved to stop the inflammation. However, the outlook is usually good. Cirrhosis and serious liver problems do not develop in most cases. It is not clear why some people with NASH progress to cirrhosis. Probably the best ways to minimise the risk of developing serious liver problems are: slow weight reduction and exercise (if obese), a low fat diet, good control of diabetes (if diabetes is the cause). Also, it is best not to drink any alcohol, or only small amounts, to minimise this aggravating the condition. In the small number of cases where cirrhosis develops, the treatment and outlook is as for other causes of cirrhosis. See separate leaflet called 'Cirrhosis'.

Further help and information

British Liver Trust
2 Southampton Road Ringwood BH24 1HY
Tel: 0870 770 8028 Web: www.britishlivertrust.org.uk

If you are contemplating a low carb diet I think it may be better if, like me you avoid the high fats and keep fats low in order to avoid aggravating this condition.

Ken.
 
Hi Graham.

That's great if all you are looking to do is lose weight but Bella has other things to consider as well.
Fat's are important here. The action points listed in your article also state this:

Action Points
--------------------------------------------------------------------------------

Explain to patients that a low-carbohydrate diet alters energy production and metabolism in the liver, with increased rates of utilization of substrates like lactate and amino acids.

Point out that the findings are based on a small study.

So. Nothing conclusive there then ?

Ken.
 
Hi Ken,
Losing weight is important in the treatment of fatty liver, I think you'll find Doczoc has reversed his on a LC diet.

Bronte, welcome to the forum. It is a little scary tackling the cholesterol levels whilst eating fat. I was lucky in that my cholesterol has always been ok, but actually eating more fat (as in MUCH more fat) has improved those numbers even further! I eat fat to the level that would have most dietitians doing fits but I've lost over 4st since November, improved my BG readings to non diabetic levels, reversed a fatty liver condition (which I was told I'd need to reduce fat intake completely to do and then it would take months to years - mine normalized in 2 months!)

From what I've seen fat is not a problem unless its combined with Hi Carb.

http://www.diet-i.com/carbs-fat-liver-problems.htm

http://bjr.birjournals.org/cgi/content/ ... type=HWCIT

http://diabetesupdate.blogspot.com/2009 ... liver.html

Cheers
Graham
 
Hi Graham.

I haven't stated that losing weight isn't important in Fatty Liver Disease.

If you check my previous posts and the link to the information about Fatty Liver Disease it is clear that it is important. What I did post was the information from that article which clearly states that for people who have this disease then it is important that a LOW FAT diet is recommended, otherwise it can aggravate the condition.

It is also important to note that there are different types of Fatty Liver Disease as well, requiring different methods of treatment.

Here is the extract:
Simple fatty liver usually causes no problems and rarely progresses. However, as mentioned, it can be a 'marker' for heavy alcohol drinking, which if continued, can cause more serious problems. Simple fatty liver may reverse and go away by stopping alcohol (if alcohol is the cause), with weight loss (if obese), or with good control of diabetes (if diabetes is the cause).

For alcoholic steatohepatitis the treatment is to stop drinking alcohol if at all possible.

For NASH, ( Non-alcoholic steatohepatitis ) no treatment has been proved to stop the inflammation. However, the outlook is usually good. Cirrhosis and serious liver problems do not develop in most cases. It is not clear why some people with NASH progress to cirrhosis. Probably the best ways to minimise the risk of developing serious liver problems are: slow weight reduction and exercise (if obese), a low fat diet, good control of diabetes (if diabetes is the cause). Also, it is best not to drink any alcohol, or only small amounts, to minimise this aggravating the condition. In the small number of cases where cirrhosis develops, the treatment and outlook is as for other
causes of cirrhosis.

I think we are both playing the same tune here but not necessarily all the same notes. :D

Ken.
 
Without getting too technical. On diagnosis I was also diagnosed with fatty liver disease. I read the info that Culigula has posted but despite trepidation I decided to low carb and high fat anyway. I REVERSED MY FATTY LIVER IN TWO MONTHS!!! The doctor was astounded. Hope this helps!
 
cugila said:
Hi ZocDoc.

Which type of fatty liver was that then ?

Ken.

Good point. I don't know if I'm honest with you. It came back in the blood tests. Doc did initially state a medical term, but then referred to it as fatty liver disease. She later interpreted that I was 'a bit of a drinker' which I wasn't. What types are there?
 
Thanks Ken, looking at that Simple Fatty Liver disease. I did read the article about gradual weight loss and low fat. I lost 4 stone in tree months eating lots of fat and it completely reversed. I can't say that's the 'right' way to do it, but it worked for me, my liver readings have been fine ever since!
 
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