I see many patients with a fatty liver and they often don’t know what to do about it. It may have been revealed on an ultrasound scan of the abdomen which was done by their doctor for a check up or for abdominal symptoms. In such cases the ultrasound scan often shows that the liver is enlarged with the fatty deposits building up within it and the spleen may become slightly enlarged as well.
Recently I saw a 50 year old woman in my practice who had a typical case of fatty liver in that she was overweight and fatigued. She also had bad psoriasis on her skin and a sallow complexion with dark circles under her eyes. Her biggest frustration was that when she went on a weight loss diet she would lose weight for a few weeks and then go into a weight loss plateau when the weight loss stopped. Exercise was not working and diet was not working and she gave up and started to eat all the wrong foods again. This patient was addicted to foods high in gluten and sugar and this was causing her fatty liver and also her psoriasis.
I explained to her that a weight loss plateau can be normal and may last several weeks, and during this time weight loss on the scales would cease. If she could persist beyond this time she would be successful, as weight loss would eventually resume. It takes time to get your liver function back to normal if you have a fatty liver. During this time metabolic changes are occurring in the body which will enable the liver to start burning fat again. So during the plateau the healing process is still working even though you are temporarily stuck with your weight. This will not last – so don’t give up!
To reverse a fatty liver several changes must occur in the body –
- Insulin levels must come down to normal – fasting insulin levels should be less than 12
- Liver inflammation must be reversed as this is damaging the liver cells – liver inflammation is seen by elevated levels of liver enzymes in the blood, especially the level of the enzyme ALT
- The detoxification pathways in the liver must be improved
- Bile flow must be improved
To lower insulin levels we need to follow a low carbohydrate diet – see my below the line diet
To reduce liver inflammation we can use a good liver formula containing St Mary’s Thistle, taurine, selenium and B group vitamins. Turmeric can also help. To provide extra antioxidants to repair liver inflammation we can use N-Acetyl-L-Cysteine and vitamin C. These supplements would also increase detoxification in the liver and improve bile production and flow. In people with a fatty liver who have lost their gallbladder, supplements of ox bile can be taken with meals, and this will help to reduce liver inflammation and improve digestion.
Organic apple cider vinegar can be taken in an amount of 10 to 20mls in the MIDDLE of the meals and this will improve digestion and lower insulin levels after the meal.
It is not hard to reverse a fatty liver and most patients with fatty liver will achieve a reversal within 6 to 12 months. Weight loss will continue to increase as the liver function improves.
The most common causes of fatty liver are –
- A diet too high in carbohydrates – namely sugar and grains (especially wheat, rye, barley and rice)
- A diet that lacks vegetables
- Medications – such as cholesterol lowering drugs, steroids, antacid medications and diuretics, and some diabetes medications
It is important to reverse a fatty liver as this will have many benefits such as –
- Weight loss
- Increased energy
- Lower blood sugar levels and better control of diabetes
- A reduction in cancer risk
- Improved immune function
My book titled Fatty Liver – You can reverse it gives you a program to reverse fatty liver. It has many delicious recipes and snack ideas
I have recently had fatty liver diagnosed. I tried Dr Cabots Liver cleansing diet back in 1990s and was vomiting on day 3. I gave up because I felt so awful.( I hate flax seeds)but used the LSM as suggested..my blood sugar levels, cholesterol , etc are all normal but Vit D is very low.I am hep A. B and C negative….I am on blood pressure pills and antidepressants…having tried to come off the latter but needed to return. I have purchased the book on fatty liver and a bottle of liver support tablets but because we were going on hoidays and it says to start slowly I have only taken Milk thistle tablets… over the past 2 weeks I have become progressively achey…hips, knees,ankles and feet.. and cant walk long distances… could the milk thistle be the cause?( I feel like I have suddenly become very old.. I am nearly 70 but its quite a marked decline. I am constantly tired…..) Do you have any suggestions?Id like to have alot of living to do yet…( i fancy my problem has stemmed from the “healthy ” food pyramid… too much Carbohydrate…. Im a non drinker)
This pain comes from inflammation. I suggest you try some raw juicing to help detox your whole body. There are excellent raw juice recipes in my recently updated book, “Raw Juices Can Save Your Life”.
Drink one glass (250ml) every 4 hours. You can also have coconut water. Do this detox for 3 days.
You can repeat this detox every 7 days until you are feeling better.
To help your adrenal glands, I highly recommend Magnesium Ultra Potent powder – 1 teaspoon daily in water or juice. This is a special formula of 4 types of magnesium designed to deeply enter your cells and boost energy.
Take Vitamin D3 with food, in a dose of 10,000 units every day.
Best wishes, Dr Sandra Cabot
Thanks so much . I will definately give it a go. I have been taking some magnesium since I read the circular.. in my “in box” I must say I have had good results from it though have ceased the milk thistle. I will start the liver support pills with the juice. Again. Im most gratefull for your help
Hi, I recently took the fatty liver test (I think thats what it was) by Sandra Cabot and it was clear I was in big trouble. I have been diagnosed with mutiple infections in multiple organs. I have over 60 diagnoses, and feel I can’t move in any direction. I think I need a consult, I only feel ok when I drink lemon juice in water, I feel very ill and unable to function in my brain or body when I eat, I am taking milk thistle, but it seems my liver can’t cope anymore with my herbal protocol that is treating my infections. I have severe hypoglycaemia and adrenal exhaustion, I think I may have estrogen dominance also. In my normal diet I can’t tolerate carbs at all, (only ones I can have are quinoa) and I eat a lot of veggies. Do you think this is typical fatty liver problems or could something else be going on? Is there a Melbourne practitioner you can recommend that I can see?
Hi Michelle, you will be able to find a nutritional doctor near you by visiting this website http://acnem.org/find-a-practitioner/victoria
I’ve drank too much in the past and I had a poor diet. I’ve been overweight for much of my adult life, although I’ve ran two half marathons in that time so I’m not necessarily unfit. Since my last baby I’ve noticed an inability to tolerate bad foods, I feel really rubbish if I overindulge. I also have a back ache under my right shoulder blade and I’m worried it’s my liver. I’ve lost 17 pounds but need to lose another 30. I’ve started drinking lemon water in the morning, a black coffee and loads of water. I’ve cut out all sugar free soft drinks as I used to drink these excessively too. I’ve not cut out alcohol entirely although that is my end goal. I’m
Trying to reduce my meat intake and just eat chicken or fish. What supplements can I add to my diet to aid my liver?
Thank you for your comment.
It sounds as though you have made a lot of positive changes and are on the right track.
To support your liver we recommend:
– Livatone Plus capsules – 2 twice daily with or without food. https://www.liverdoctor.com/livatone-plus.html
– NAC capsules – 2 capsules twice daily away from food with a glass of water. https://www.liverdoctor.com/nac-n-acetyl-l-cysteine-600mg-90-capsules.html
This free ebook on liver cleansing might interest you also: https://www.liverdoctor.com/the-vital-principles-of-liver-cleansing-free-download/
All the best 🙂