Managing Fatty Liver and Food Expiration: Expert Advice for Patients - Internal Medicine

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I would like to consult a physician?


Hello: (1) I am a psychiatric patient.
My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverages! My weight has always been classified as overweight.
However, it is really difficult to quit these drinks, and I am suffering.
What methods can I use to make a change? (2) Last time, I stored a whole bag of coffee (which contained many single-serve packets) and forgot to finish it, resulting in it being expired for about 6 months.
What should I do? The same goes for fish snacks, which will expire this month! Should I throw everything away? Or is there another option? Thank you for your response, doctor.

A-Ming, 30~39 year old female. Ask Date: 2019/11/07

Dr. Hong Yuanbin reply Internal Medicine


Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication.
I believe there is still a chance for success.
I recommend consulting with a specialist in obesity medicine.
As for expired food, it is advisable to discard it, as consuming it may lead to adverse reactions.
Wishing you success, and thank you for your question.

Reply Date: 2019/11/07

More Info


Managing fatty liver disease and addressing dietary habits can be challenging, especially when lifestyle changes are required. Let’s break down your concerns into two main areas: managing fatty liver and dealing with expired food.


Managing Fatty Liver Disease
Fatty liver disease, particularly non-alcoholic fatty liver disease (NAFLD), is often associated with obesity, poor dietary choices, and a sedentary lifestyle. Given your situation, where you have a preference for sugary drinks and a lack of physical activity, it’s crucial to adopt a more balanced approach to your diet and lifestyle.

1. Dietary Changes:
- Reduce Sugary Beverages: One of the most significant contributors to fatty liver is the consumption of high-sugar drinks, including hand-shaken beverages. These drinks are often high in calories and can lead to increased fat accumulation in the liver. Gradually reducing your intake can help. Consider replacing these drinks with water, herbal teas, or infused water with fruits for flavor.

- Balanced Diet: Focus on a diet rich in whole foods, including vegetables, fruits, whole grains, lean proteins (like chicken, fish, and legumes), and healthy fats (such as avocados and nuts). This can help reduce liver fat and improve overall health.

- Portion Control: Be mindful of portion sizes, especially with high-calorie foods. Eating smaller, more frequent meals can help manage hunger and reduce the temptation to indulge in unhealthy snacks or drinks.

2. Physical Activity:
- Incorporate Exercise: While it may be difficult to start, incorporating even small amounts of physical activity can significantly impact your liver health. Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking, swimming, or cycling. Start slow and gradually increase your activity level.

- Find Enjoyable Activities: If traditional exercise feels daunting, consider activities you enjoy, such as dancing, gardening, or playing a sport. This can make it easier to stay active.

3. Professional Guidance:
- Consult a Nutritionist: A registered dietitian can provide personalized dietary advice and help you create a meal plan that accommodates your preferences while promoting liver health.

- Regular Check-ups: Keep in touch with your healthcare provider to monitor your liver function and overall health. They can guide you on managing fatty liver and any other health concerns.


Dealing with Expired Food
Regarding your expired food items, it’s essential to prioritize safety and quality:
1. Expired Coffee:
- If the coffee is ground or whole beans, it may not be harmful to consume after the expiration date, but the flavor and potency may diminish. If it smells off or has an unusual appearance, it’s best to discard it.

2. Fish Snacks:
- For fish snacks or any perishable items, check for signs of spoilage, such as an off smell, discoloration, or changes in texture. If they are past the expiration date and show any signs of spoilage, it’s safer to throw them away.

3. General Rule:
- When in doubt, it’s better to err on the side of caution. Consuming expired food can lead to foodborne illnesses, which can further complicate your health, especially with existing liver issues.


Conclusion
Managing fatty liver disease requires a commitment to lifestyle changes, particularly in diet and exercise. While it can be challenging, especially with cravings for sugary drinks, gradual changes can lead to significant improvements in your liver health. Additionally, being cautious with expired food is essential for your overall well-being. If you find it difficult to make these changes alone, seeking support from healthcare professionals can provide you with the guidance and motivation you need. Remember, small steps can lead to significant health improvements over time.

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