Does mild fatty liver require treatment?

Patient's question:

My husband has to go to banquets every day, and his diet is very unhealthy, disorganized, and greasy. It's been like this recently too. Besides feeling nauseous at gatherings, I'm worried he might have developed fatty liver disease. What should we do?

Doctor's answer:

Mild fatty liver usually does not require treatment and lifestyle and dietary changes are needed. If you are obese, weight control is necessary, but it is important to lose weight steadily, as rapid weight loss can worsen liver damage. Correct nutritional imbalances, abstain from alcohol, avoid taking medications indiscriminately, and maintain a diet high in protein and low in fat, supplemented with vitamins. Engage in appropriate exercise daily. If lipid-lowering therapy is used, liver function tests should be performed regularly. Patients with fatty hepatitis can be treated with reduced glutathione, polyene phosphatidylcholine, and vitamin E.

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