Hi everyone! This is my first time posting here, and I hope I can get some tips. I've kinda looked around a bit before deciding to post here, so I have some ideas, but, well.
I was diagnosed with severe fatty liver about four weeks ago, and I go in for a FibroScan in about two weeks to hopefully rule out NASH. Fingers crossed it's still in the NAFLD stages. On top of that, I am a type 2 diabetic and morbidly obese.
So, basically, my diet is kinda limited to what I can and can't eat. I'm hoping I can make an appointment to sit down with an actual nutritionist within the next few weeks, but, it's really hard to get an appointment there. I was approved by my doctors for bariatric surgery, but unfortunately, my insurance won't cover it. I can fight the decision, but, I decided to attempt this the "natural" way, first, and re-evaluate at the first of the year.
The doctors I've talked to all say the same thing. Limit bad fats, eat healthy fats, eat lean meats (avoid red meats with fatty liver), and tons of fresh fruit and vegetables. I was also put on a high fiber diet to help with digestive issues (and that has helped).
My issue is that I'm supposed to be getting around 2,000 calories a day, and I'm lucky if I can get it to 1,400. Then I'm stuck trying to find anything I can to get me up as close to the 2,000 as I can get, but, with all the fresh fruits/vegetables/healthy fats (avocado, peanut butters, olive oils, salmon), all of my daily nutrients are getting maxed out. Same with fibers, and because of diabetes I have to keep my carbs somewhat low, and because of the fatty liver and diabetes, sugar even lower. I know natural sugars don't count as the daily intakes, only added sugars, and I avoid that like the plague. I've also done a lot of research on fatty liver diets, and most places I visit say to limit protein, too, and try to eat more plant protein than meat (which is kinda hard, honestly). But, if I eat pasta, I eat the type that's made from chickpeas, and all the breads I eat are whole wheat breads. I tend to stick with sweet potatoes, but occasionally I'll let myself have a little bit of white potatoes.
Has anyone else here been in this type of situation and have any advice on how to help? I can't exactly eat a bowl of ice cream, or grab a candy bar for those quick, dense calories, when it will add all those added sugars to my liver and hurt it even more, or spike my sugar levels. I'm kind of new to this counting carbs thing, so, I don't even know if I'm counting them properly or not. I don't know if the carbs that are listed on the backs of food are the way I'm supposed to be counting?
I don't feel hungry during the day with what I'm eating, but, I know losing weight too fast is not good for your health, and even worse when your liver is already compromised. I've lost 17 pounds since I started this new diet, which was around June 25th. (plus, it adds the 10 pounds I had lost a year ago, so now it says I've lost a total of 27 pounds, which is a nice number so far :P Just not as accurate as I want) Granted, a lot of that was water weight at the beginning, but now I want to make sure I can keep it around that 1-2 pounds a week, and I'm afraid if I can't get these calories up I'll be losing it way too fast.
Anyway, sorry for the long post! Like I said earlier, any tips would be appreciated!