A chance fibroscan has shown I have fatty liver. My cap score was 362 but my kpa was only 2.5.
I'm 46 and I'm not overweight, my bmi is in normal range.
My diet isn't always the healthiest although I do eat a lot of homecooked food with veggies.
I get some exercise (walks, pilates) but know I need to do much more.
Other than diet and exercise changes, is there anything else I should be doing?
I was a little surprised to be honest.
Do you have any digestive issues or elevated triglyceride levels? NAFLD is often associated with bile acid disorders. Bile acid is formed from cholesterol. There's currently no test to measure the levels of bile in the body but elevated triglyceride levels or digestive issues can signify bile acid problems.
hi @mickymouse42 do you have any links to further info on this. My triglycerides remain high although cholesterol has reduced to the upper end of normal.
Many thanks
There's a bile acid disorder called Bile Aid Malabsorption (BAM); most people with BAM have NAFLD and elevated triglyceride levels. There's a patient support group for the disease set up by Warwick University Hospital bad-uk.org/; the term BAD refers to Bile Acid Diarrhoea as one of the symptoms is urgent diarrhoea triggered by bile acid entering the colon; some patients will see bile in their stools (pale, yellowish/greenish and oily substance).
BAM is a very common disease and the researchers think that many people diagnosed with IBS actually have BAM. Unfortunately, it's not something that can be diagnosed by a GP so many people go undiagnosed for years; in the UK it is diagnosed by a SehCAT scan which measures bile acid retention rates; the Americans use a 7ac4 blood test that will diagnose the condition but unfortunately it's not rolled out in the UK . The tell tale signs of the disease apart from diarrhoea are elevated triglycerides and poor absorption of Vitamin D and B12.
A low fat diet and bile acid binders are typically used to treat BAM. There's a lot of patients in the patient support group trying out (diabetic) semaglutide drugs (Wegovy etc) as a possible cure to BAM.
The British liver trust website has lots of information on nafld.
Dear Caro8500
In addition to the suggestions from members of the forum here are the links to information on the British Liver Trust website about diet and exercise, which you may find useful
britishlivertrust.org.uk/in...
britishlivertrust.org.uk/in...
If you would find it useful to talk things over, our nurse-led helpline is open Monday to Friday from 9am to 3pm on 0800 652 7330 (excluding bank holidays)
We also facilitate a range of virtual support groups for people living with a liver condition (and their families and carers) including one for NAFLD/MASLD.
If you would find it helpful to speak to others with shared experience, you can register to join a group here
britishlivertrust.org.uk/vi...
Best wishes
British Liver Trust
Non Alcoholic Fatty Liver Disease
Fatty Liver
Alcoholic fatty liver? 
non alcoholic drinks
