What not to do?: My doctor put me on a... - Living with Fatty...

Living with Fatty Liver and NASH

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What not to do?

24 Replies

My doctor put me on a diet to reverse m fatty liver and high cholesterol; 40% carbs, 30% fat and 30% protein... which cuts out all bread pretty much. But she never said what I️ should avoid (is some sugar ok if I’m not over my calories etc? Can I still have a glass of wine?). And she also didn’t tell me whether there were some foods that would help my progress more than others. Does anyone know the do’s and donts?

24 Replies
Careful1 profile image
Careful1

Personally, I would cut out ALL added sugar... basically you need to eat clean. No fried food, no sugar, cut out simple carbs or limit them etc.. Eat fresh fruits and veggies, lean meat etc.

I know it's difficult but we gotta do what we gotta do to help our liver get better. If you drink alcohol you should consider giving it up as it also causes fatty liver...

Exercise is also very important for fatty liver. If your not already get into an exercise routine, even if it's just walking for 30 mins a day...

Bbohnie profile image
Bbohnie

Start by reading every label on your food: check for anything that says Enriched. If so it is probably enriched with iron. Avoid It! You can eat bread made from sprouted grain. It is healthy and fills you up. Spread coconut oil on lightly and Enjoy! YES avoid sugar - calorie count is less important than quality! Sugar is the devil!!! Get off it. Eat lean meats in 4-6oz servings- which is much less than you are used to eating. About the size of your palm less the fingers. Eat veggies. So many good recipes. Add spices to add flavor. Start using turmeric every day with black pepper as you cook. It needs heat and a little good fat to work wonders. Can be done with veggies easily. Use coconut oil and avocado- great healthy fats! I reverse my fatty liver through clean eaating and light exercise. Think of this as a new adventure where you can discover new things! Healthier better things! Avoid alcohol- even in cough syrup! Avoid Tylenol and all added iron. YOU can do this!

teanchat profile image
teanchat in reply to Bbohnie

What is sprouted grain bread, please. I'm interested as I have fatty liver. Found during ultrasound six months ago.

in reply to teanchat

Sprouted grains are better for you than whole grains because once the grain is sprouted it releases more nutrients, they contain more protein vitamins and minerals. Just look on the ingredients for “sprouted wheat” etc instead of whole wheat or bleached flour. They also normally contain less carbs than white bread which means less sugar hitting your system.

teanchat profile image
teanchat in reply to

Thankyou. Looking forward to trying sprouted grain bread.

Hope4MyLiver profile image
Hope4MyLiver in reply to teanchat

Look for Ezekiel bread in the refrigerated section of the health food department.

teanchat profile image
teanchat in reply to Hope4MyLiver

Hello and thankyou for the info. I will try to get some today.

Moonsts profile image
Moonsts in reply to Hope4MyLiver

I tried this once. For me, it is a total yuck!

Bbohnie profile image
Bbohnie in reply to Moonsts

It depends on the brand. Some is like dry cardboard but I eat Silver Hills and love it. So tasty and filling! They have different versions to pick from. I like them all but hemp is my least favorite.

Similau profile image
Similau in reply to teanchat

Buy it in heath food sections but keep in frig. My loaf got moldy in 4 days.

teanchat profile image
teanchat in reply to Similau

Thankyou.

Hepatofat profile image
Hepatofat in reply to teanchat

healthline.com/nutrition/10... Alternatives to bread.

Bookie71 profile image
Bookie71

No sugar accept fruit and no Alcohol

teanchat profile image
teanchat in reply to Bookie71

Hello Thankyou for guidance. For me no alcohol is easy but would cake be ok sometimes or should it be none at all? How about potatoes, rice, pasta? How strict should I be?

Bbohnie profile image
Bbohnie in reply to teanchat

Be very strict! No alcohol- even in cough syrup! No fried foods- includes chips, French fries, anything fried. Use coconut, avocado, or Olive oil. Bake food instead of pan fried. No sugar...check labels. No syrups or cane sugar. Eat smaller portions of lean meat- fish, chicken, beef if lean. Use plant sources of protein - beans, legumes, quinoa, millet. Go to cleanfoodcrush. Great website.

Bbohnie profile image
Bbohnie

Nothing with added iron- like bread, pasta, cereal. If it says Enriched don't eat it. I like Silver Hills sprouted grain bread. Eat fruits and vegetables but avoid high iron like kale, spinach, romaine lettuce.

nash2 profile image
nash2Partner

Good advice here, if you would like more background about eating healthier here is a link that may help you. It is important to get the diet details correct if you have liver disease. The role of fats and carbs are critical so check out the discussion at this link.

fattyliverfoundation.org/di...

Hers a good start. This is a booklet about nutrition guidelines for liver patients

drfalkpharma.de/uploads/tx_...

Moonsts profile image
Moonsts

You asked some very important questions! I'd also live to know the answers.

Rsf232 profile image
Rsf232

NO WINE. No alcohol at all, in fact. (Well my doc says one drink in a very blue moon is probably ok, but I've never been big on alcohol, so it's no problem for me to abstain.)

Rsf232 profile image
Rsf232

Olive oil also very important -- 4tbl /day. Apollo brands (available online) have the highest amounts of polyphenols that help the liver.

As for carbs -- keep them low (very low, though you need some) and try to make them all "brown" -- brown rice, whole grains, etc. Avoid refined grains and reserve sugars for natural ones found in whole fruit (and not juice).

NYLassie profile image
NYLassie

After a great deal of research, I have a list of foods, herbs, and spices that are really good for liver health. Soy beans, mung beans, broccoli, cauliflower, spinach, beets, rutabaga, blueberries, goji berries, aronia berries (black chokeberries), walnuts, Alaskan salmon (not Atlantic which is farm raised), tuna, avocados, organic apples with the skin, whole grains, organic extra virgin olive oil, citrus fruits (with the white pith),white meat chicken with all the fat removed, fat free organic dairy products, green tea, white tea, black tea, filtered decaff coffee, dark colored grapes, pomegranate, shitake, oyster, and white button mushrooms, ginger, spurulina, turmeric, garlic, onions, and lemon balm.

On the rare occasions that I have beef, it is 93 percent lean, grass fed. I steam it to remove additional fat and, as it comes out rather grey and soggy, I brown it a bit in some avocado oil.

I also keep in mind that the calorie recommendation for people with NASH who are overweight is quite restrictive, 500 to 1000 calories a day for women. If it is a calorie toss up between a quarter cup olive oil and something else, I go for the latter. A lot of people here swear by olive oil. I feel the same about soy. On days when I keep my calories at the low end, I skip the olive oil. On days when I consume more calories, I add in the olive oil to a sauce I use with my broccoli and to a smoothie I have for breakfast.

Mili123 profile image
Mili123

I am surprised of your statement NYLassie... 500 to 1000 calories is very very low. And one of the main thing I read about NASH is to be aware that a fast weight loss can be as damaging as remaining at the same weight (even when obese). A weight loss of 1 to 2 lbs each week is the best, no more.

Also, some individual seems to have a malnutrition problem when having a fatty liver or NASH. I read that you must eat enough calories, just not calories from fatty food (polyinsaturated). High sugar food is to be avoided as well. If I'm wrong, please tell me, but that's what I've learned those past weeks... I would recommend for people to look into this seriously before reducing drastically their calories intake.

NYLassie profile image
NYLassie in reply to Mili123

I know what you mean re the very low calories. That is one recommendation for people with NASH who need to lose weight from a study listed at the NIH site. I find that 1100 or 1200 is easier. It is difficult to get adequate nutrition with so few calories. After speaking to the RD at my hepatologist's office, we calculated my BMR and deducted 30% due to the fact that I work a 3rd shift job that damages my metabolism. We did not factor in activity level, in order to create a deficit. We arrived at 1300 and change. The RD said stick to between 1100 and 1300 calories a day. Since my last post, I have my diet down to a rather monotonous one that is working well. If I get hungry between meals, I have 16 ounces of tea or coffee with soymilk and 1.5 tsp of soluble fiber powder.

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