How to regulate high transaminase levels in fatty liver

Fatty liver combined with elevated transaminase can be regulated by adjusting diet, controlling weight, moderate exercise, quitting alcohol, and medication intervention. Fatty liver is usually caused by factors such as obesity, alcohol intake, and metabolic abnormalities. Elevated transaminase levels indicate liver cell damage, and comprehensive measures should be taken based on specific causes.

1. Adjust diet

Reduce intake of high-fat and high sugar foods, increase high-quality protein and dietary fiber. The proportion of coarse grains in daily staple food can be increased to one-third, and low glycemic index foods such as oats and brown rice should be chosen. Vegetables are mainly dark green leafy vegetables, such as spinach and broccoli, while low sugar fruits such as apples and blueberries are preferred. The cooking method should avoid deep frying and instead use steaming or cold mixing.

2. Weight Control

Overweight individuals need to improve their metabolism through scientific weight loss. It is recommended to lose 5% -10% of their current weight within 3-6 months. Weight loss should not exceed 1.5 kilograms per week to avoid rapid weight loss that leads to excessive fat breakdown and increases liver burden. Daily diet and weight changes can be recorded, and personalized plans can be developed under the guidance of a nutritionist if necessary.

3. Moderate Exercise

Engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, or cycling. Maintain a heart rate of 60% -70% of the maximum heart rate during exercise, and warm up and stretch before and after exercise. Patients with combined cardiovascular diseases need to be evaluated by a doctor and develop an exercise plan to avoid exercising on an empty stomach or immediately after a meal.

4. Abstinence from alcohol

Patients with alcoholic fatty liver disease must strictly abstain from alcohol, and non-alcoholic fatty liver disease should also avoid drinking alcohol. Alcohol metabolite acetaldehyde can directly damage liver cell mitochondria and exacerbate transaminase elevation. People who have difficulty quitting alcohol can seek help from professional institutions, and if necessary, use drugs such as sulfur to assist in treatment.

5. Medication intervention

Under the guidance of a doctor, liver protective drugs such as silibinin capsules and bicyclic acid tablets can be used. Patients with insulin resistance may need metformin sustained-release tablets. Severe steatohepatitis may be considered with vitamin E soft capsules, but the risk of bleeding needs to be monitored. All medications require regular liver function check ups to avoid self adjustment of dosage. Patients with fatty liver need to have liver function, ultrasound, and blood glucose and lipid indicators rechecked every 3-6 months. Pay attention to avoiding the use of drugs that are harmful to the liver in daily life, such as some antibiotics and antipyretic analgesics. Maintain a regular daily routine, sleep for no less than 7 hours at night, and take a 20-30 minute break in the afternoon. Long term excessive stress can affect liver metabolic function, and emotions can be regulated through meditation, deep breathing, and other methods. If there are obvious symptoms such as fatigue, jaundice, or abdominal distension, seek medical attention promptly.