Does obesity and mild fatty liver require weight loss

Mild fatty liver with obesity generally requires weight loss, which can be improved through dietary adjustments, exercise, and other methods to reduce liver fat accumulation. Obese patients with mild fatty liver often have problems such as excessive calorie intake and metabolic abnormalities. Excess fat in the body will gradually deposit in liver cells, leading to mild damage to liver function. This condition is a reversible lesion, and early weight loss can help reduce liver fat content. In daily life, one can adopt a low-fat and low sugar diet pattern, reduce daily calorie intake by 500 calories, and choose high fiber and high protein foods such as broccoli, oats, and deep-sea fish to replace fried foods. Engage in moderate intensity exercise for at least 150 minutes per week, such as brisk walking, swimming, and other aerobic activities, to promote fat breakdown metabolism. When the weight loss is 5% to 10%, most patients show a reduction in the degree of fatty liver on ultrasound examination. Obese patients with mild fatty liver should avoid rapid weight loss and maintain a weight loss rate of 0.5-1 kg per week. Sudden reduction in calorie intake may lead to excessive fat mobilization, which in turn increases the burden on the liver. It is not recommended to use weight loss drugs or extremely low calorie diets, as these methods may induce bile stasis or electrolyte imbalance. If there is mild elevation of transaminase in combination, liver protective drugs such as polyene phosphatidylcholine capsules and silymarin capsules should be used as adjuvant therapy under the guidance of a doctor. Regularly review liver function and abdominal ultrasound to monitor the impact of weight changes on the liver.

It is recommended to re-examine liver function and liver ultrasound every three months to observe the improvement of fatty liver. Maintain a regular schedule and avoid staying up late to worsen metabolic disorders. Strictly limit alcohol intake to prevent the combination of alcohol and fat from damaging liver cells. Moderate supplementation of vitamin E soft capsules, probiotic preparations, etc. can assist in regulating lipid metabolism. If there is no improvement in fatty liver after six months of continuous weight loss, or if symptoms such as fatigue and discomfort in the liver area occur, it is necessary to seek medical attention promptly to screen for other liver diseases.