Does anyone here have Fatty Liver and have any tips?

I was recently diagnosed with NAFLD back on June 24th when I went in for pain in the upper right quadrant of my stomach. I had an ultrasound done which showed a severe fatty liver, but no masses. I've spoken to a liver specialist, who recommended weight loss and exercise, and her initial diagnosis is NAFLD, but, I'm going in on Thursday for a fibroscan (which will hopefully help rule out NASH). My blood work for my liver was all within the normal ranges (my ALT was 39, and AST was 33. Both on the higher end, but still within the normal ranges), which I'm choosing to look at as a good sign, too?

I am meeting with a nutritionist today (in less than an hour, to be exact!) to hopefully get some macros advice and stuff, but, I was just curious if anyone else here has been diagnosed with fatty liver? And if so, do you have any tips? Like, recipes you've made for your fatty liver diet that tasted good, did you limit anything other than bad fats and sugars (and, obviously, calories for weight loss)?

I worry about losing weight too fast, but, I am morbidly obese. My heaviest when I first started this diet this time was 380 pounds at the end of June when I was diagnosed with nafld and I'm now down to 357 pounds. A lot of that was water weight the first week or so, I know, and since then I've averaged around 3 pounds a week or so. I know from research that they say you can safely lose .5-1% of your body weight a week, so, for morbidly obese people, that weekly number is higher with a gradual decrease. And so far, other than the first week or two, I've stayed within that range, so, I think I'm good! (Another question I'll ask my nutritionist today, or my weight management doctor in two weeks when I have another appointment with her).

Sorry for the long, rambling post! Basically, just any tips or advice would be welcome! Support and encouragement is also welcome! :) If you have any fun recipes that are liver-friendly, or some fun exercise videos for someone who is very obese, please, share them!

Replies

  • nurees
    nurees Posts: 23 Member
    First off Fibroscans are rarely accurate. Ultrasound is the preferred diagnostic tool. Lose slowly. Very slowly. I was told nothing processed, Whole Foods, no sugar. Lean meats, lits if fruit and veggies.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    I've already had my ultrasound done, I guess she wanted the fibroscan to stage it or something? Not too terribly sure, honestly.

    My nutritionist help me change some of my daily calorie intake and macros around today, so that's good! And she said as long as I stay under that 1% body weight loss a week, I will be fine. If I notice I'm losing it faster, to up my calories a bit.

    It's a good thing I like fruit (though I have to limit being a type ii diabetic) and veggies, but I want to find new ways to spice them up some.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    @RunsWithBees , I just want to say thank you, and that you gave me a lot of hope for the day! I have been having a rough couple of days because of this stupid pain. It will go away for a few days, sometimes up to a week, then randomly come back. And every time it comes back I feel more and more disappointed, and then my mind starts wandering about it being inflammation instead of pain from the liver pressing against stuff, and then I've got myself convinced I have NASH all over again, and it's just a big, never-ending cycle.

    Can I ask where you felt your pain? I've heard that the pain from inflammation in the liver is more-so right under your ribs, where the liver is located? My pain is lower. Like, it's borderline between the upper quadrant and lower quadrant, on the right side. More to the right of my belly button and sometimes a little upper right from the belly button. (About 3 or so inches to the right of the belly button, and sometimes a little above that spot. But never super high on my abdomen)

    I had my blood work done in June, so, I probably won't get retested until November or so, but man, I wish I could now! I hate playing the waiting game. I read that once you lose about 10% of your body weight, the liver really starts to kick in and work on repairing itself. If that's the case, then I will have reached that goal in about 4-5 weeks, I think? I've already lost 28 pounds from when the pain first started, and I need to lose 10 more pounds to hit that 10%, and I've been averaging around 2.5-3 pounds weight loss a week.

    I wish I liked tea. I see so many places that tell you to drink green tea, but, I just can't stand the flavor of any tea that I've tried. Do the artichoke and dandelion teas taste very, uh, tea-y?
  • RunsWithBees
    RunsWithBees Posts: 1,508 Member
    Having had the beginnings of NAFLD was what really scared me straight and gave me that last push I needed to lose weight. My pain was located in the upper right quadrant sometimes just above the edge of my ribcage and sometimes just below the ribcage, more towards the front of my body than the side. It was a sudden sharp pain that turned into a dull ache that lasted a few minutes at first but eventually progressed to lasting hours or days. It was exactly as you described in its randomness... you could be fine for days or weeks then it would strike again out of nowhere. I did eventually lose 20% of my body weight (which for me was 43 lbs) at the rate of 1 lb per week and I’ve not suffered a single bout of that liver pain again since.

    Congratulations that you’ve already lost weight that’s fantastic! You are definitely on the right track! :)

    I try to make it a rule to never drink my calories so I mostly drink water but also tea or diet soda. I don’t like green tea either, I drink mostly black teas or fruity herbal teas, hot or iced. You could also just try a mug of hot water with fresh lemon which is supposedly good for liver function also. When I get home later I’ll post some more tea information on this thread for ya :)

    Gonna be honest here though, I believe that simply eating less and moving more is what reversed my case of NAFLD, not anything specific that I ate or drank. For all I know the teas “work” by simply making me drink more water than calorie laden drinks, and water simply by itself is good for the body. I also think that being active is key because it uses up the fat that’s stored in the liver for fuel and clears it of excess triglycerides that it shouldn’t be storing there abnormally, allowing it to heal. When I began exercising I couldn’t even walk up a single flight of stairs or walk around the block without being completely out of breath and exhausted. So I began simply walking as much as I could and slowly walked a little more each time. It was slow going at first but every step counts! Eventually I was able to go farther and faster. I progressed to hiking which brought its own challenges but I kept at it. Now I run up and down hills and mountains whenever I want, the change has been night and day! I was 39 years old when I began my weightloss journey, I’m gonna be 46 in a few months and I feel like I’m the healthiest I’ve ever been in my life. If I could do it then you definitely can!

    Could be non-related but a little over a year ago I had an MRI for uterine fibroids and on the report they have to note any out of the ordinary findings even if they see something on adjacent organs. They noted I had some small cysts on my liver. My doctor said that the cysts were benign and that many people genetically have them and they are of no consequence whatsoever. I am not aware of an MRI being a diagnostic tool for NAFLD and my liver was healed by then anyway, it was simply an incidental finding. I do wonder about it though and it’s always a good reminder for me to take care of my liver and body in general, it’s the only one I’ve got! ;)
  • RunsWithBees
    RunsWithBees Posts: 1,508 Member
    edited August 2020
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    Here’s some of my favorite teas (notice there’s no green tea!) I drink them all plain with no sweetener or milk. There’s the staple Lipton black tea and I love any brand of Earl Grey and English Breakfast. The Raspberry Zinger tea is sooooo fruity and refreshing! Celestial Seasonings brand has many great teas but the raspberry is my fave. The artichoke tea is one I buy on Ebay I think it ships from Vietnam. I’ve tried many different artichoke teas but this one is my favorite, I don’t buy it from a specific seller though. I like this one because it has a very slightly floral sweetness to it, many other artichoke teas are kind of bitter. One not pictured is a tea Starbucks carries called “Passion tea” which is a hibiscus tea great hot or iced. Another thing I do is boil whole cinnamon sticks and that makes a lovely tea that I do add a splash of coconut milk to and it’s delicious during the cold weather months. Tea in general has lots of healthy stuff in it like flavonoids and antioxidants. You can try some different teas, the good thing is they aren’t very expensive and you can possibly find some you like. If not, there’s always just plain ole water, which I drink lots of every day too. :)
  • Katmary71
    Katmary71 Posts: 7,084 Member
    I had a liver biopsy, was at the point where I was vomiting and had severe left-sided pain where the fatty deposits were the worst. Losing weight made the biggest difference with vomiting and pain. I don't have those issues now but my liver enzymes were recently up (90lbs less than before) so I started a liver supplement, no clue if it's helping yet. I drink a lot of herbal tea as well.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    Thank you so much for all the tea suggestions! I'm going to research them some more later when I get back from my fibroscan today! Hopefully I can find one I like, because I'm kinda tired of drinking just water. That's pretty much all I drink, with an occasional glass of milk, so, I could use some variety! I'm staying away from diet sodas for a while. I was drinking them pretty heavily for the caffeine, and I think that was making things a lot worse. I know it was worse for my GERDs.

    I'm looking forward to the day where I actively like and search out exercise. Right now it's more of a having to force myself to exercise daily, and I alternate between the stationary bike or YouTube low impact workouts for 30 minutes. We have an elliptical, too, but that is super hard on my knees. I know it'll get easier the more I do it, though, so I just keep pushing through! And I'm definitely eating less, calorie wise, but eating way more healthy foods than past me did. I mostly cut out all added sugars, with the occasional gram or two in some whole wheat bread or a protein bar. I try to eat more healthy fats, and I'm trying to watch my carb intake (which, that is the hardest part, to be honest).

    Man, at this stage if a doctor told me I had cysts on my liver I'd probably go into panic mode. I'm so glad they said it was benign for you, though! ♥️

    Thank you again for all your help and advice! I really appreciate it.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    Katmary71 wrote: »
    I had a liver biopsy, was at the point where I was vomiting and had severe left-sided pain where the fatty deposits were the worst. Losing weight made the biggest difference with vomiting and pain. I don't have those issues now but my liver enzymes were recently up (90lbs less than before) so I started a liver supplement, no clue if it's helping yet. I drink a lot of herbal tea as well.

    Oof, that sounds horrible, I'm so sorry! I'm glad your vomiting and pain has gone away, though! That's good! Hopefully the liver supplement helps with your liver enzymes! Fingers crossed!

    I see tea mentioned so many times, I feel like I'm just going to have to force myself to learn to like tea!
  • MollyJE19
    MollyJE19 Posts: 67 Member
    I don't like the flavor of green tea at all so I steep it with a black teabag in an extra-large mug to cover the green flavor. Also, milk thistle is very good for the liver. You can get it in capsules.

    Also I'm sure your doctor checked your gallbladder health as well? Gallbladder issues can cause upper right quadrant pain.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    I'm going to ask about milk thistle, assuming I ever hear back from my doctor about my fibroscan test (which... If I saw the numbers correctly, was not good...)

    I actually had my gallbladder removed about 21 years ago, so, don't think it's that. But that was giving me a lot of pain, and to this day I can very vividly remember how a gallbladder attack felt.
  • dtaber38
    dtaber38 Posts: 12 Member
    I recently went for an ultrasound as I too was getting pain in my upper right abdomen. I thought it may be a hernia, so the doctors checked me out, and found nothing but a mild fatty liver. I was told that it wasn’t serious and that drinking water and exercise will alleviate the problem. I now drink 2 litres plus a day, my diet consists of lean meats, carbs and around 70g fat per day. I’m working out in the gym and feel great. I definitely recommend this is as a way forward.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    @dtaber38 , I'm glad things are working out for you! That's awesome! ♥️

    That's kinda what my diet has consisted of lately, too, so that's good! Unfortunately, I think my liver is more than just fatty liver, I'm hoping to hear back tomorrow. But I think I've hit the cirrhosis stage along with some other issues, but, we will see.

    But for now, I'm sticking with this diet and exercise and hopefully that will help!
  • MikePfirrman
    MikePfirrman Posts: 3,307 Member
    edited August 2020
    Two supplements that might help -- Astaxanthin (has many studies showing it's fantastic for liver protection and for a fatty liver) and Fucoidan. Check with your docs, though, as many supplements react with medications. Astaxanthin should be a must with anyone with liver issues. It's derived from Red Algae. It's what makes salmon so healthy for you. It's the red color in krill oil and seafood. It's one of the most powerful antioxidants you can get and they are finding out it's wonderful for your liver. For both high enzyme counts and non-alcoholic fatty liver disease.

    A lot of docs don't know about it because it's cheap and it's over the counter.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164583/

    And on Fucoidan (from brown seaweed)

    https://www.sciencedirect.com/science/article/pii/S1382668915301022

    They are starting to believe that both help modulate your microbiome (the gut/digestive system bacteria) and, by doing that, indirectly help the liver dramatically.

  • rieraclaelin
    rieraclaelin Posts: 115 Member
    Thank you so much! I'm making a list of what all to ask my doctor whenever I can talk to her!
  • sportygal1971
    sportygal1971 Posts: 62 Member
    I wonder how many of you have gallbladder out. I swear that surgery caused stress on my liver. I have a hernia & dealing w menopause so my who system isn't happy.
    I know my liver will be happier if I drop 50.
  • Katmary71
    Katmary71 Posts: 7,084 Member
    @sportygal1971 I I had my liver biopsy when I had gallbladder surgery, no clue if one was before the other but the pain and vomiting was a few years post surgery.
  • sportygal1971
    sportygal1971 Posts: 62 Member
    Katmary71 wrote: »
    @sportygal1971 I I had my liver biopsy when I had gallbladder surgery, no clue if one was before the other but the pain and vomiting was a few years post surgery.

    I just have never been the same since GB surgery
  • KrissieLynn371
    KrissieLynn371 Posts: 12 Member
    My doctor told me today that both my liver and my pancreas are fatty, so I’ve got to get serious about diet and exercise (really more so the exercise as I eat fairly decent). Happy to find there’s at least one thread here on NAFLD. I get the right quadrant pain, more so when I’ve been walking or moving around a lot, and generally feel icky/bloated. I’m also at my heaviest weight of 191. Here’s hoping we all have success!!
  • KrissieLynn371
    KrissieLynn371 Posts: 12 Member
    Katmary71 wrote: »
    @sportygal1971 I I had my liver biopsy when I had gallbladder surgery, no clue if one was before the other but the pain and vomiting was a few years post surgery.

    I just have never been the same since GB surgery
    Katmary71 wrote: »
    @sportygal1971 I I had my liver biopsy when I had gallbladder surgery, no clue if one was before the other but the pain and vomiting was a few years post surgery.

    I just have never been the same since GB surgery

    @sportygal1971 same here! Gall bladder changed so much!
  • Beautyofdreams
    Beautyofdreams Posts: 1,009 Member
    I agree. After my gall bladder was removed I could not eat high fiber or fat without getting severe diarrhea. This was also the period of time that I was trying keto. So felt miserable. I take Cholestepol tablets (prescribed by my doctor) which prevent the diarrhea and now can eat most foods. It also comes in a powder but the texture is really thick and gritty.
  • rieraclaelin
    rieraclaelin Posts: 115 Member
    I agree. After my gall bladder was removed I could not eat high fiber or fat without getting severe diarrhea. This was also the period of time that I was trying keto. So felt miserable. I take Cholestepol tablets (prescribed by my doctor) which prevent the diarrhea and now can eat most foods. It also comes in a powder but the texture is really thick and gritty.

    Oh wow, I might have to look into that.

    I've dealt with diarrhea for over 20 years since having my gall bladder removed, I've just gotten so used to it! Oddly enough, salad (lettuce, I think) is a big trigger for mine. And fatty foods, which I don't really eat anymore with my diet.

    But it's better than the pain I had with my gall bladder, so, I will take the diarrhea, I think :p