What should I do if there is a trend of fatty liver during physical examination

The trend of fatty liver in physical examination can be improved by adjusting diet, controlling weight, increasing exercise, limiting alcohol consumption, and regular check ups. Fatty liver is usually caused by poor dietary habits, lack of exercise, obesity, excessive alcohol intake, metabolic abnormalities, and other reasons.

1. Adjust diet

Reduce intake of high-fat and high sugar foods, increase the proportion of vegetables, fruits, and whole grains, and choose high-quality protein such as fish and soy products. Avoiding fried and processed foods, controlling daily total calorie intake, can help reduce liver fat accumulation. Fatty liver may be related to long-term high-fat diet, usually manifested as discomfort or fatigue in the liver area.

2. Weight Control

By scientifically reducing weight and lowering visceral fat content, it is recommended to keep the body mass index within the normal range. The speed of weight loss should not be too fast, and the weekly weight loss should not exceed a certain range. Obesity may be related to insulin resistance, usually accompanied by elevated blood sugar or abnormal blood lipids.

3. Increase Exercise

Engage in aerobic exercise every week, such as brisk walking, swimming, or cycling, for a certain duration each time. Combining resistance training to enhance muscle mass and improve basal metabolic rate. Lack of exercise may lead to excess energy, usually manifested as an increase in waist circumference or a decrease in physical strength.

4. Limit alcohol consumption

Patients with alcoholic fatty liver disease should strictly quit drinking, and non-alcoholic fatty liver disease should also reduce the frequency and amount of alcohol consumption. Alcohol metabolites can directly damage liver cells and exacerbate steatosis. Long term alcohol consumption may be associated with abnormal liver function, typically manifested as elevated transaminase levels.

5. Regular follow-up

Check liver ultrasound and liver function every six months to one year to monitor changes in fatty liver. If necessary, perform liver elasticity testing to evaluate the degree of fibrosis. Metabolic abnormalities may be related to genetic factors and usually have no obvious symptoms but require long-term management. The trend stage of fatty liver can mostly be reversed through lifestyle interventions. It is recommended to establish a regular schedule, ensure sufficient sleep, and avoid staying up late. Vitamin E and other antioxidants can be supplemented in moderation, but must be used under the guidance of a doctor. When combined with diabetes or hyperlipidemia, basic diseases should be treated simultaneously, and regular follow-up should be conducted to avoid progression to steatohepatitis or cirrhosis.