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Dr. Roach | Weight Loss Best for Fatty Liver-Lifestyle-St. Augustine Records
Dear Dr. Roach: I have been suffering from fatty liver for the last 10 years. Is there a medicine to get it back? — AA
Dear Dr. Roach: I have been suffering from fatty liver for the last 10 years. Is there a medicine to get it back? — AA
Answer: Fatty liver is a very common finding that refers to the accumulation of excess fat in hepatocytes. The most common cause of people who do not drink too much alcohol is overweight, ultimately leading to insulin resistance and many other metabolic disorders. This includes changes in cholesterol levels and elevated blood pressure.
You asked about medications, but the first treatment for people who are overweight with fatty liver is to lose weight. Ideally, this is achieved through a healthy diet and increased exercise. However, bariatric surgery is worth considering for people who continue to have fatty liver despite their best diet and exercise.
Don’t take fatty liver lightly. It can progress to liver inflammation (fatty hepatitis from “fatty hepatitis” meaning “fat” in Greek), fibrosis, and eventually cirrhosis.
Drug therapy is more often used to treat underlying disorders and associated conditions than to treat fatty liver itself. Treatment of diabetes (if present), high blood pressure, and high cholesterol often helps reduce the risk of heart attack and stroke, as well as the risk of liver disease. Weight loss medications are prescribed by weight management specialists.
For people with fatty liver without diabetes, there are conflicting data, but the use of vitamin E does not seem to be very beneficial. Vitamin E should not be used by people with diabetes to treat fatty liver. Most experts found that vitamin E increased the risk of prostate cancer by about 17% in a large study, so most experts found that vitamin E should be used in men with a personal or strong family history of prostate cancer. Do not use
Readers can email their questions to ToYourGoodHealth @ med.cornell.edu or email 628 Virginia Drive in Orlando, Florida.
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