Good cholesterol
Hello Ms.
Huang: I recently discovered that I have moderate fatty liver and inflammation with GOT at 80 and GPT at 215 during my health check-up.
Could you please advise me on how to improve my diet to enhance liver function and reduce fatty liver? I do not consume alcohol or take medications.
Thank you.
A-Ming, 30~39 year old female. Ask Date: 2005/01/19
Dr. Huang Shuli reply Nutrition
A-Ming: Hello! Your question is about "good cholesterol." Do you have fatty liver combined with high blood lipids? First, please pay attention to whether you are overweight, as being overweight indicates nutritional excess.
You should aim to lose weight.
Your diet should be light, high in fiber, and balanced across the six major food groups: dairy, grains, vegetables, fruits, protein sources (meat, fish, eggs, legumes), and fats.
If your weight is normal, please increase your physical activity to strengthen your muscle tissue and reduce fat.
Maintain a regular lifestyle, avoid staying up late, and schedule regular follow-up appointments.
This response is from Dietitian Huang Shu-Li at Hsinchu Hospital.
Reply Date: 2005/01/19
More Info
Improving liver health, particularly in the context of fatty liver disease and elevated liver enzymes, is a multifaceted approach that primarily revolves around dietary modifications and lifestyle changes. Given your recent diagnosis of moderate fatty liver and elevated liver enzymes (GOT 80, GPT 215), it is crucial to adopt a comprehensive strategy to enhance liver function and reduce fat accumulation in the liver.
Dietary Recommendations
1. Balanced Diet: Focus on a well-balanced diet that includes a variety of food groups. Aim for a plate that consists of:
- Fruits and Vegetables: These are rich in antioxidants and fiber, which can help reduce inflammation and improve liver health. Aim for at least five servings of fruits and vegetables daily.
- Whole Grains: Incorporate whole grains like brown rice, quinoa, and whole wheat bread. These provide essential nutrients and fiber, which can aid in weight management and improve liver function.
- Lean Proteins: Opt for lean protein sources such as chicken, turkey, fish, beans, and legumes. Fish, particularly fatty fish like salmon and sardines, are high in omega-3 fatty acids, which have anti-inflammatory properties.
- Healthy Fats: Include sources of healthy fats, such as avocados, nuts, seeds, and olive oil. These fats can help reduce liver fat and improve overall health.
2. Limit Sugar and Refined Carbohydrates: High sugar intake and refined carbohydrates can contribute to fat accumulation in the liver. Avoid sugary drinks, sweets, and processed foods. Instead, choose complex carbohydrates that are high in fiber.
3. Reduce Saturated and Trans Fats: Limit your intake of saturated fats found in red meat and full-fat dairy products, as well as trans fats found in many fried and processed foods. These fats can exacerbate liver inflammation and fat accumulation.
4. Stay Hydrated: Drink plenty of water throughout the day. Staying hydrated supports liver function and helps flush out toxins.
5. Moderate Alcohol Consumption: Although you mentioned that you do not consume alcohol, it is essential to maintain this practice, as alcohol can significantly worsen liver health.
Lifestyle Modifications
1. Regular Exercise: Incorporate physical activity into your daily routine. Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, such as brisk walking, swimming, or cycling. Exercise helps reduce liver fat and improves overall metabolic health.
2. Weight Management: If you are overweight, losing even a small percentage of your body weight (5-10%) can significantly improve liver health and reduce fat accumulation. Focus on gradual weight loss through a combination of diet and exercise.
3. Regular Monitoring: Keep track of your liver enzyme levels and overall health through regular check-ups with your healthcare provider. This will help you monitor your progress and make necessary adjustments to your lifestyle.
4. Avoiding Toxins: Limit exposure to environmental toxins, such as pesticides and industrial chemicals, which can stress the liver. Use natural cleaning products and avoid smoking.
5. Stress Management: Chronic stress can negatively impact liver health. Engage in stress-reducing activities such as yoga, meditation, or deep-breathing exercises.
Conclusion
Improving liver health, particularly in the context of fatty liver disease, requires a holistic approach that includes dietary modifications, regular physical activity, and lifestyle changes. By focusing on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while minimizing sugar, unhealthy fats, and alcohol, you can significantly enhance your liver function and overall health. Regular monitoring and consultations with healthcare professionals will also play a crucial role in your journey toward better liver health. Remember, consistency is key, and small, sustainable changes can lead to significant improvements over time.
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