Fatty liver disease is on the rise in America. Along with increasing levels of obesity and metabolic syndrome, fatty liver disease is damaging the health of millions of Americans. It's deadly. And here's the kicker --most people who have fatty liver disease don’t even know they have it.
What is Fatty Liver Disease?
Alcoholic fatty liver disease and non-alcoholic fatty liver disease are major causes of illness and death in the United States, according to the National Institute on Alcohol Abuse and Alcoholism. Non-alcoholic fatty liver disease, or steatosis, is a condition where fat builds up in the liver of people who drink little or no alcohol. In alcoholic fatty liver disease, the fat build-up is caused by drinking too much.
Is Fatty Liver Disease Dangerous?
You probably won’t know you have fatty liver disease because is usually causes no signs or symptoms. In many cases it is harmless – it’s not usual for fat to build up in the liver but it can be complication-free.
However, the fat that accumulates in the liver may cause inflammation and scarring and lead to a serious form of fatty liver disease called nonalcoholic steatohepatitis. At its most dangerous, fatty liver disease can cause liver failure.
What About Alcohol?
If you drink too much alcohol you are at risk of fatty liver disease as well as hepatitis and cirrhosis. Heavy drinking can be the cause of too much fat building up in your liver.
If you stop drinking, fatty liver disease will usually reverse. The best guidelines remain the same – cut down on heavy drinking and stop completely if you already have a problem with your liver.
How Many People Have Fatty Liver Disease?
Fatty liver disease is often referred to as a hidden epidemic. According to the National Institute on Alcohol Abuse and Alcoholism, there are around 8 million people with alcoholism in the US who may have fatty liver disease. That’s in addition to about 42 million obese individuals who may also be affected.
It’s affecting children too. The Optimal Weight for Life program at the Children's Hospital Boston claims fatty liver disease is becoming increasingly common even among children.
Although many adult cases can be caused by alcoholism, most kids clearly don’t have that problem. Obesity is the key issue for children. Between 1 in 4 and 1 in 2 overweight American children are thought to be affected by fatty liver disease, storing up a potential time-bomb for liver disease in their adult lives.
Top 10 Natural Remedies for Fatty Liver Disease
1. Eat a Low-Carb Diet
A low carbohydrate diet, and specifically a diet low in fast- release or simple carbs, can help halt fatty liver disease in its tracks.
According to the National Institute on Alcohol Abuse and Alcoholism, a low carbohydrate/ higher fatty acid diet works on the genes in the liver to inhibit the activities of fatty liver disease-causing enzymes.
A 2007 study from the Optimal Weight for Life program at the Children's Hospital Boston backs up this assertion. The study shows that a diet rich in carbohydrates with a high glycemic index (GI) – white bread, white rice, concentrated sugar and all those nasties - is not only bad for the waistline but also bad for your liver. In the study, one group of mice was fed a high GI diet and the other a low GI diet containing the same amount of calories and fat.
After six months the high GI mice had double the amount of fat flowing through their bodies, their blood and into their liver although they weighed the same.
Skip the fast-release carbohydrates and instead fill your plate with vegetables, fruits, beans and unprocessed or brown grains, along with a healthy intake of protein and the right kind of fat.
2. Choose The Right Kind Of Fat
Dietary fat plays an important role in the development of fatty liver disease and it’s not necessarily the part you’d imagine. Research from the National Institute on Alcohol Abuse and Alcoholism shows that saturated fatty acids have a protective effect on the liver. Phospholipids such as soybean extract have been noted to prevent alcohol-induced fibrosis and cirrhosis in baboons.
Fish oil is especially protective of your liver. It’s still not clear exactly how much of an effect fat has on fatty liver disease. But according to a 2009 study from the University of Barcelona, a diet rich in Omega-3 fatty acids can protect the liver from steatosis. “Our study shows for the first time that lipids called protectins and resolvins derived from Omega-3 fatty acids can actually reduce the instance of liver complications, such as hepatic steatosis and insulin resistance, in obese people,” reported researcher Joan Claria.
The study looked at a group of mice on an omega-3 enriched and a control diet. After five weeks the mice given the omega-3-rich diet had less hepatic inflammation and improved insulin tolerance. So, load up on the salmon, walnuts and other foods that are high in omega-3 fatty acids. And, invest in a good omega-3 fatty acid supplement every day.
3. Lose Weight to Prevent Fatty Liver Disease
Losing a few pounds an help to prevent fatty liver disease. Turning down second helpings to gain a slimmer figure can help prevent fatty liver disease.
If you’re overweight,you are more at risk of having a fatty liver, according to the National Institute on Alcohol Abuse and Alcoholism. The double whammy comes if you regularly drink more than the recommended levels of alcohol and you’ re overweight. You are storing up problems for yourself in the form of hepatitis and cirrhosis caused by chronic alcohol consumption plus obesity.
A 2009 study from Saint Louis University found that weight loss of at least 9 percent helped reverse the formation of non-alcoholic steatohepatitis. 50 patients consumed a 1,400 calorie diet and were monitored for 36 weeks with liver biopsies. Patients who lost 5 percent or more of body weight over nine months showed a marked improvement in insulin resistance and steatosis and those who went the extra mile and lost at least 9 percent showed liver damage reversal. So shed the pounds for a lighter life and liver.
4. Cut Down on Fructose
At the same time as fatty liver disease is on the increase in the U.S., so too has consumption of high fructose corn syrup gone through the roof. We consume fructose mainly in the form of soft drinks. Could there be a link between soft drink consumption and an increased risk of fatty liver disease? Research from the University of Florida, says so.
In a 2000 study from the University of Florida, patients with proven fatty liver disease were examined for full dietary history and monitored for body mass index. Consumption of fructose was nearly two- to three-fold higher in patients with fatty liver disease than the control group, suggesting that the development of fatty liver disease may be associated with an over-indulgence in fructose.
Similar findings come from a 2010 study from the Cincinnati Children's Hospital Medical Center. Researchers discovered that a diet high in fructose, sucrose, and trans fats not only makes people fatter but leads to an increased incidence of fatty liver disease with scar tissue.
“Fructose consumption accounts for approximately 10.2 percent of calories in the average diet in the United States and has been linked to many health problems, including obesity, cardiovascular disease and liver disease,” reports researcher Dr. Kohli. The study looked at mice fed normal diets and diets of fructose and sucrose-enriched water along with trans fats. Their livers were analyzed for fat content and damage and researchers found mice fed high calorie diets (trans fat alone or a combination of trans fat and high fructose) became obese and had fatty liver disease.
5. Take Vitamin E to Help Fatty Liver Disease
A 2010 study from the Saint Louis University Liver Center found that Vitamin E improved the livers of patients with non-alcoholic steatohepatitis. Those suffering from non- alcoholic steatohepatitis were given either 800IU of Vitamin E or a placebo for the 96-week study. 43 percent of those treated with Vitamin E showed significant improvements in the health of their liver, compared with just 19 percent of those in the placebo group.
6. Step Up Your Exercise
Hitting the treadmill or taking an extra areobics class can fight liver disease. Whether you lose weight or not, an increase in physical activity benefits your liver.
Researchers in a 2009 study from the Sydney West Area Health Service in Australia examined how patients with non- alcoholic fatty liver disease reacted to an increase in exercise. 141 participants were split into a control group, a low- intensity lifestyle intervention group, and a moderate- intensity lifestyle intervention group.
Walking was the main activity for the intervention groups and the patients were encouraged to walk or exercise for at least 150 minutes a week. After three months, those who were active for more than 150 minutes per week, and who stepped up their fitness levels, showed improvements in liver enzymes and other metabolic indicators whether or not they shed the pounds.
Patients who maintained a sedentary lifestyle throughout the study showed no improvement in fatty liver disease. So turn off the TV and get active instead.
7. But Don’t Stop Exercising Suddenly
If you’ve raised your exercise levels you’ll be seeing benefits in terms of your fitness and your lowered risk of fatty liver disease. But stopping can reverse all your progress.
A 2008 study from the University of Missouri suggests that giving up and returning to the couch can quickly put you right back in the danger zone for fatty liver disease. “We found that the cessation of daily exercise dramatically activates specific precursors known to promote hepatic steatosis,” said Jamal Ibdah, professor of medicine and medical pharmacology. Researchers gave obese rats access to running wheels for 16 weeks. They then locked the wheels, and sent the rats back to a sedentary condition.
After only 7 days the rats began showing signs of those factors responsible for the development of hepatic steatosis. In the rats tested immediately at the end of the 16 weeks of running, there were no signs of hepatic steatosis. So make sure to keep up the good work once you’ve started, for the sake of your liver.
8. Reduce Cholesterol In Your Diet
A low-cholesterol diet can help to reverse fatty liver disease. Cholesterol is the dense white fat found in animal proteins.
Research from a 2006 report from the Consejo Superior de Investigaciones Cientificas in Barcelona suggests that a low cholesterol diet, or cholesterol-lowering drugs, may help halt fatty liver disease. The research showed that an accumulation of cholesterol in mouse livers led to the loss of an important antioxidant. The cells lacking the antioxidant are left at risk of inflammatory factors that damage the liver.
Mice with high levels of cholesterol in their livers became increasingly susceptible to two inflammatory factors called cytokines, leading to increased incidence of the condition. Try these foods to lower the amount of cholesterol in your diet.
9. Cure Your Sleep Apnea
Getting your beauty sleep benefits the body, the mind ---and now the liver. A 2009 study from the University of Bern, Switzerland, has found a link between obstructive sleep apnea and non-alcoholic steatohepatitis. Mice kept for a week in low-oxygen atmospheres showed increased levels of fat and inflammation in their livers.
How does this link to sleep? Sleep apnea occurs when the airways relax in sleep, causing you to briefly stop breathing. Researchers kept the mice in a low oxygen environment in order to mimic this effect. When the mice were exposed to low oxygen levels, the genes that controlled fat synthesis in the liver were more active while those that controlled fat breakdown seemed to doze off.
10. Just For Men: Increase Testosterone Levels
A 2009 study from Bayer Schering Pharma in Berlin discovered that for middle-aged and older men with low testosterone levels, long-term testosterone replacement therapy markedly improves fatty liver disease.
The study looked at 122 testosterone-deficient men, average age 59 and a half, and found that restoring testosterone significantly improved liver function during the first 12 to 18 months of therapy and stabilized it for the remainder of the study. “Physicians often are reluctant to prescribe testosterone for conditions not related to sexual function,” reported the study's co-author, Farid Saad, PhD. “However, our study shows that testosterone has a much wider therapeutic role than just for improving sexual desire and erectile function.”