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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Obese, Grade 2 Fatty Liver. What Diet And Precautions Should Be Taken?

. I have grade II fatty Liver, I have started exercise (1hr brisk walk) and diet control, Reduced weight by about 4Kgs(After GM diet) maintaining the same, still, I am obese required to reduce weight further by about 10Kgs. Please advise the additional precautions, I have to take to reduce/eliminate this problem completely
Sat, 9 Nov 2013
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General & Family Physician,  's  Response
Hi, thanks for posting.

Causes of fatty liver(FLD) are different. They are separated in two groups:
1. Fatty liver(FLD) caused by alcohol.
2. Fatty liver(NAFLD) caused by metabolic syndrome.
I think that you suffer from the second group of the disease that is fatty liver (NAFLD).

The treatment of this disease is complex.
First of all you need to make the following tests:
1. Glycemic test for diabetes mellitus.
2. Lipid test for blood fat(cholesterol, Low density lipoprotein(LDL), High density lipoprotein(HDL), tryglicerid)
3. Check your blood pressure(BP).
4. Function liver and transaminasa level.
5. Ultrasound of liver.
6. Magnetic resonance images (MRIs).
If the result of glycemic test is positive you need to be treated for diabetes mellitus.
If the result of lipid test is positive you should be treated for High cholesterol.

As for the diet you need to eliminate: carbohydrates(white bread, pizza, fast food, pasta,etc), animal fat, egg yolk.
Use a lot of vegetables, fruits.
If you respect all those precautions you will reduce your weight gradually and this is very healthy for you.

Best Wishes.
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Obese, Grade 2 Fatty Liver. What Diet And Precautions Should Be Taken?

Hi, thanks for posting. Causes of fatty liver(FLD) are different. They are separated in two groups: 1. Fatty liver(FLD) caused by alcohol. 2. Fatty liver(NAFLD) caused by metabolic syndrome. I think that you suffer from the second group of the disease that is fatty liver (NAFLD). The treatment of this disease is complex. First of all you need to make the following tests: 1. Glycemic test for diabetes mellitus. 2. Lipid test for blood fat(cholesterol, Low density lipoprotein(LDL), High density lipoprotein(HDL), tryglicerid) 3. Check your blood pressure(BP). 4. Function liver and transaminasa level. 5. Ultrasound of liver. 6. Magnetic resonance images (MRIs). If the result of glycemic test is positive you need to be treated for diabetes mellitus. If the result of lipid test is positive you should be treated for High cholesterol. As for the diet you need to eliminate: carbohydrates(white bread, pizza, fast food, pasta,etc), animal fat, egg yolk. Use a lot of vegetables, fruits. If you respect all those precautions you will reduce your weight gradually and this is very healthy for you. Best Wishes.