recent F3 diagnosis and need help with food queations

[qa3181]

I’ve had fatty liver for 30 years and never took it seriously but was recently diagnosed with F3 severe scarring via fibroscan. My liver enzymes aren’t bad. Just one is on the high side but not awful. Doc said my ultrasound showed no enlargement and a beautiful liver but I’m very concerned about the F3. I am drinking coffee with cream every morning. For lunch a salad with mozzarella cheese, olives, tomatoes and a hard boiled egg with olive oil and apple cider vinegar. Later I have a smoothie with kencko dehydrated organic fruit and vegetable, coconut milk, organic beet juice and some whey powder. For dinner lentil soup. I eat fish and dairy but no meat or meat broth. I drink only water and green tea with no sweetened. I add organic lemon juice. I eat a clove every night and a tablespoon of honeycomb with honey locally grown. I take zinc and a probiotic. I am a 65 year old woman who weighs 178. I drink at least 64 ounces of water daily. I ride my exercise bike at least 4X per week but not real energetically. I get enough sleep. I completely gave up alcohol. I sometimes eat a Greek yogurt. I cheat sometimes especially after working all day or on weekends I resort to frozen pizza or a frozen dinner. Please give me advice on my eating and what I should add or subtract and how much olive oil daily?

[qa3181]

I should add I am on high blood pressure meds and metformin. I have been a diabetic for 3 years.

[nash2 Partner]

It sounds like you hare a pretty good foundation. Not sure the honeycomb is helping you. We would suggest a couple of tablespoons of olive oil a day. If it would work for you substitute olive oil for the coconut oil. Coconut is a saturated fat that goes directly to the liver. You probably would like to lose a few pounds which is important with NASH. One challenge of the smoothy strategy is that you likely don't get as much fiber as you need. You didn't mention it but I assume you are watching your salt. Pizza and packaged meals are often very high in salt. There is a study which says that cream decreases the value of coffee to the liver. Not a big thing but they do all add up and I assume the coffee is paper filtered which is important. I imagine you are under the care of a diabetes doc. You might consider trying to include a hepatologist in your care team as they have specialized liver training.

[qa3181 in reply to nash2]

thank you for the help. Can you tell me if it’s better to take all olive oil, or all coconut oil, or a tablespoon of each? And do you have any recommendations of which brands are healthy?

[nash2 Partner]

Here is more info than you may want but see if this helps.

fattyliverfoundation.org/li...

[Kjun54321]

Milk Thistle and Vitamin C is good for fatty liver. I think you’re doing a great job eating-wise. A heck of a lot better than me. Lol. You might ask about a liver biopsy. The fibroscan can also be wrong.

[qa3181 in reply to Kjun54321]

thank you for replying. Those choices are my daily goal but believ me I’m far from perfect at sticking to it!

[andrewax2]

The main thing that personally worked for me was cutting sugar, calorie counting, and getting rid of white bread, white rice, etc. What you typed up there doesn’t look too bad, but definitely cutting sugars is crucial.

[Stewarpa]

I wanted to reiterate the recommendation to see a hepatologist and not an endocrinologist. Your regular PCP has limited knowledge in liver issues and I have found even good, well respected endocrinologists have limited experience in successfully treating liver issues. I am actually seeing my siblings liver transplant physician to try and keep me from following in her shoes. The tests that are used are absolutely helpful but working with someone that deals with these situations daily is where you want to go for the best help possible. You usually will see your endocrinologist every 6 months, so even if you have to travel to a location to see a specialist, it is worth the extra time and effort to do so.