Should I take medication for severe fatty liver

Patients with severe fatty liver usually need to follow medical advice and use medication for treatment. Severe fatty liver may be related to factors such as insulin resistance, lipid metabolism disorders, oxidative stress, etc., usually manifested as symptoms such as liver discomfort, fatigue, and decreased appetite. It is recommended to seek medical attention promptly and receive standardized treatment under the guidance of a doctor. Severe fatty liver patients with liver fat deposition exceeding a certain proportion may be accompanied by liver cell damage or inflammation. At this point, relying solely on lifestyle adjustments is difficult to reverse the condition, and drug intervention is needed to improve metabolic abnormalities. Common medications include pioglitazone tablets to improve insulin sensitivity, atorvastatin calcium tablets to regulate blood lipids, and compound glycyrrhizin tablets to protect liver cells. Some patients may need to use antioxidants such as vitamin E soft capsules in combination. Regular monitoring of liver function, blood glucose, blood lipids and other indicators is required during medication.

If the patient is complicated with basic diseases such as obesity or diabetes, the primary disease should be controlled simultaneously. A small number of patients may experience drug-induced liver injury or gastrointestinal reactions, and the medication regimen needs to be adjusted in a timely manner. For patients with obvious abnormal liver function, short-term use of liver protective drugs such as silibinin capsules may be necessary. All drugs must strictly follow the principle of individualization and avoid self purchasing and taking them. In addition to medication treatment, patients should adhere to a low-fat and low carbohydrate diet for a long time and maintain moderate aerobic exercise daily. Abstinence from alcohol and weight control are basic treatment measures. Regular follow-up liver ultrasound and elasticity testing can help evaluate therapeutic efficacy. If severe symptoms such as jaundice and ascites occur, it is necessary to consider the possibility of progression to cirrhosis and seek medical attention immediately.