The FASTEST Way to Reverse Fatty Liver, Naturally | NAFLD Treatment

Leonid Kim MD
12 Dec 202213:22

Summary

TLDRIn this informative video, Dr. Leonid Kim discusses non-alcoholic fatty liver disease and its complete reversibility. He outlines actionable dietary advice, emphasizing the avoidance of sugary drinks and high-fructose foods while advocating for increased protein intake, especially at breakfast. The video also highlights the importance of weight loss, the right types of fats, and low glycemic index carbohydrates in liver health. Additionally, Dr. Kim suggests potential supplements like vitamin E, omega-3s, and choline to aid recovery, while stressing the necessity of lifestyle changes for long-term liver health.

Takeaways

  • 🍀 Non-alcoholic fatty liver disease (NAFLD) is reversible and can show improvement in weeks with the right steps.
  • 🍬 The primary cause of fatty liver is overconsumption of sugars, particularly fructose and sucrose, which can lead to various health issues.
  • 🚫 Fructose does not stimulate leptin, a hormone that signals fullness, leading to overeating and increased risk of leptin resistance.
  • 🍹 Avoid sugary drinks, including juices and sports drinks, as they are high in concentrated sugars without the fiber found in whole fruits.
  • 🍇 While fruits contain fructose, they are also rich in fiber and vitamin C, which can mitigate the negative effects of fructose.
  • 🥩 Increase protein intake, especially at breakfast, to help reduce cravings for sugary and processed foods and aid in weight loss.
  • 🥑 Be cautious with saturated fats found in red meat and dairy products, and opt for healthier fats like those from fish, nuts, and avocados.
  • 🏋️‍♂️ Weight loss is a crucial factor in reversing fatty liver, with even a 5% reduction in body weight showing positive effects.
  • 🍞 Choose carbohydrates with a low glycemic index, such as legumes, dairy, vegetables, and fruits, over high glycemic index carbs like white bread and rice.
  • 🚶‍♂️ Incorporate at least 150 minutes of moderate-intensity activity and resistance training into your weekly routine to support liver health.
  • 💊 Supplements like vitamin E, omega-3 fatty acids, and choline may aid in liver recovery, but always consult with a doctor before starting supplementation.

Q & A

  • What is the primary cause of fatty liver according to the video?

    -The primary cause of fatty liver, as mentioned in the video, is overconsumption of sugars, specifically fructose and sucrose, which are found in table sugar and high-fructose corn syrup.

  • Why does fructose consumption lead to overeating?

    -Fructose does not stimulate the release of leptin, a hormone that signals fullness to our brains after a meal. As a result, consuming fructose does not generate a normal satiety response, making it easy to overeat.

  • What are the potential health risks associated with excessive fructose intake?

    -Excessive fructose intake can lead to not only fatty liver but also other conditions such as diabetes, heart disease, dementia, and even various types of cancer.

  • How does the consumption of fructose affect the liver in a short period?

    -A study mentioned in the video found that a high-fructose diet for just seven days can increase lipid deposition in the liver and decrease liver insulin sensitivity.

  • Why are sugary drinks and juices particularly harmful for liver health?

    -Sugary drinks and juices contain high amounts of concentrated sugars without the fiber found in whole fruits, making it easier to overconsume sugars and overwhelm the liver with fructose.

  • What is the recommended daily sugar intake according to the American Heart Association?

    -The American Heart Association recommends consuming less than 24 to 36 grams of sugars per day.

  • How does increasing protein intake, especially at breakfast, affect overall food consumption?

    -Increasing protein intake, particularly at breakfast, can lead to consuming less food over the course of the day and reduce cravings for sugary or processed foods.

  • What is the impact of losing a certain percentage of body weight on fatty liver?

    -Losing just 5% of total body weight can decrease hepatic steatosis, and losing 7% can lead to the complete resolution of non-alcoholic steatohepatitis (NASH).

  • Why is it important to watch saturated fat intake when trying to reverse fatty liver?

    -Saturated fats, found in red meat, processed meats, butter, and fried foods, can increase liver fat more significantly than fructose when overconsumed, as shown in various studies.

  • What types of fats are recommended for those following a ketogenic diet to improve liver health?

    -For a ketogenic diet to be beneficial for liver health, the majority of the fat content should come from polyunsaturated or monounsaturated fats, such as those found in fish, nuts, and avocados, rather than saturated fats.

  • What supplements are suggested in the video to help with the recovery of fatty liver?

    -The video suggests vitamin E, omega-3 fatty acids, and choline as supplements that show promise in aiding the recovery of fatty liver, although it emphasizes that dietary changes are the primary treatment.

  • What lifestyle changes, in addition to dietary changes, are recommended for improving liver health?

    -Abstaining from alcohol, engaging in at least 150 minutes of moderate-intensity activity per week, and including resistance training or muscle-building exercises at least twice a week are recommended.

Outlines

00:00

🍀 Reversing Fatty Liver Through Diet Changes

This paragraph introduces the concept of non-alcoholic fatty liver disease and its reversibility. Dr. Leonid Kim provides an overview of the steps needed to reverse the condition quickly, emphasizing dietary changes and the avoidance of fructose and sucrose. The role of leptin in satiety and the impact of high-fructose diets on lipid deposition and liver insulin sensitivity are discussed. The paragraph also highlights the importance of avoiding sugary drinks, juices, and dry fruits due to their high sugar concentration without fiber.

05:00

🥚 Increasing Protein Intake for Liver Health

The second paragraph focuses on the benefits of consuming more protein, particularly at breakfast, to reduce overall daily food intake and cravings for sugary and processed foods. Studies are cited that link higher protein intake to reduced energy-dense food consumption and weight loss, which are key in managing fatty liver. The paragraph also addresses the importance of choosing healthy fats, such as those from fish and avocados, while moderating saturated fats found in red meat and processed foods. The potential benefits and risks of different dietary fats on liver health are discussed, along with the role of low glycemic index carbohydrates in liver health management.

10:01

🏋️‍♂️ Lifestyle Changes and Supplements for Liver Recovery

The final paragraph discusses additional measures for reversing fatty liver disease, including abstaining from alcohol, engaging in regular physical activity, and incorporating resistance training. The potential of supplements like vitamin E, omega-3 fatty acids, and choline in aiding liver recovery is explored, with caution advised on the use of high-dose vitamin E. The importance of whole food nutrition is emphasized, with supplements serving as an adjunct to a healthy diet. The paragraph concludes with a promise of further exploration of supplements for fatty liver treatment in a future video.

Mindmap

Keywords

💡Fatty Liver

Fatty liver, also known as non-alcoholic fatty liver disease (NAFLD), is a condition where the liver accumulates excess fat. It is reversible and is the central theme of the video. The script discusses steps to reverse it, including dietary changes and lifestyle modifications. For example, the video mentions that overconsumption of sugars and fructose can lead to fatty liver.

💡Reversible

Reversible means that a condition can be returned to its original state or undone. In the context of the video, it emphasizes that fatty liver is not a permanent state and can be reversed with proper steps, such as dietary changes and avoiding certain foods.

💡Leptin

Leptin is a hormone that signals satiety or fullness to the brain after a meal. The script explains that fructose does not stimulate leptin effectively, leading to a lack of satiety and potentially overeating, which contributes to fatty liver.

💡Fructose

Fructose is a simple sugar found in honey, fruits, and some vegetables. The video script highlights that excessive consumption of fructose, especially from manufactured sources, can lead to an increase in lipid deposition in the liver and contribute to fatty liver.

💡Sucrose

Sucrose, commonly known as table sugar, is composed of glucose and fructose. The script points out that sucrose is a significant contributor to fatty liver due to its breakdown into fructose and glucose, which can trigger metabolic changes in the body.

💡Protein Intake

Protein intake is emphasized in the video as a key strategy for managing and reversing fatty liver. Consuming adequate protein, especially at breakfast, can help control hunger and reduce the consumption of sugary and processed foods, which are detrimental to liver health.

💡Saturated Fats

Saturated fats are fats that are typically solid at room temperature and are found in animal products and some plant-based oils. The script warns against excessive consumption of saturated fats due to their potential to increase liver fat and contribute to fatty liver.

💡Polyunsaturated Fats

Polyunsaturated fats are considered healthier fats that are liquid at room temperature and are found in fish, nuts, and certain oils like sunflower oil. The video suggests that these fats are preferable to saturated fats for liver health and can help reduce liver fat.

💡Glycemic Index

The glycemic index is a measure of how quickly a food raises blood sugar levels. The video script recommends consuming carbohydrates with a low glycemic index to avoid spikes in blood sugar, which can be beneficial for liver health.

💡Supplements

Supplements are additional nutrients that can support health goals. The script mentions several supplements, such as vitamin E, omega-3 fatty acids, and choline, that may aid in the recovery of liver health, although it emphasizes that a healthy diet and lifestyle are primary.

💡Weight Loss

Weight loss is presented in the video as one of the most effective ways to improve fatty liver. Losing even a small percentage of body weight can reduce liver fat and improve liver health, as mentioned in the script.

💡Dietary Changes

Dietary changes are a fundamental part of the strategy to reverse fatty liver. The script provides actionable advice on the types of foods to eat and avoid, such as reducing sugary drinks and focusing on whole foods.

Highlights

Non-alcoholic fatty liver disease is fully reversible with the right steps.

Fatty liver is primarily caused by overconsumption of sugars, especially fructose and sucrose.

Fructose does not stimulate leptin, leading to overeating and leptin resistance.

High fructose intake can increase lipid deposition in the liver and decrease insulin sensitivity within a week.

Fruits and vegetables naturally contain fructose but are also rich in fiber and vitamin C, mitigating adverse effects.

Sugary drinks, including juices, sports drinks, and energy drinks, should be avoided to reverse fatty liver.

Eating more protein, especially at breakfast, can reduce overall food intake and cravings for unhealthy foods.

Weight loss is an effective method to improve fatty liver, with even 5% body weight loss showing benefits.

Saturated fats found in red meat and processed foods can significantly increase liver fat.

Polyunsaturated and monounsaturated fats from fish, nuts, and avocados are healthier options.

Low carbohydrate diets can be effective for weight loss and improving metabolic health, especially with healthy fats.

Carbohydrate quality is more important than quantity for liver health, with low glycemic index carbs being preferable.

Abstaining from alcohol and regular exercise, including resistance training, are beneficial for liver health.

Supplements like vitamin E, omega-3 fatty acids, and choline may aid in liver recovery but should be used cautiously.

Dietary changes and lifestyle modifications are key to reversing fatty liver disease before it progresses to severe forms.

Supplements should be considered as adjuncts to a healthy diet and not as replacements.

The video provides actionable advice for dietary changes and lifestyle modifications to reverse fatty liver disease.

Transcripts

play00:00

if you've been told you have fatty liver

play00:02

or non-alcoholic fatty liver disease the

play00:06

good news is it's fully reversible and

play00:08

in this video I'll go over the exact

play00:10

steps you need to take to not only

play00:12

reverse it but to do it quickly and

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start seeing changes in weeks I will

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also go over actionable advice on the

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foods you need to eat and the foods you

play00:21

need to stay away from to fix your liver

play00:23

and at the end of the video I will talk

play00:25

to you about other steps you can take to

play00:27

improve your liver health and we'll also

play00:30

go over the best supplements you can

play00:31

take to help your liver recover and go

play00:34

back to normal hi I'm Dr Leonid Kim and

play00:36

on this channel I discuss the most

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up-to-date and evidence-based

play00:40

information on the topics of weight loss

play00:42

metabolic Health and Longevity let's get

play00:45

into it now to better understand how to

play00:47

reverse fatty liver we first have to

play00:49

identify what causes it in the first

play00:51

place and it's pretty simple fatty liver

play00:54

is caused by for the most part over

play00:57

consumption of sugars and specifically

play00:59

fructose and sucrose with sucrose being

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just table sugar that breaks down into

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fructose and glucose the consumption of

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both fructose and sugar sets off a whole

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Cascade of changes in our bodies the

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leads to not only fatty liver but also

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to other conditions like diabetes heart

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disease dementia and even many cancers

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now what makes fructose unique is it

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doesn't stimulate leptin and leptin is a

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hormone that is released in our bodies

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after a meal that signals satiety or

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fullness to our brains so consuming

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fructose doesn't generate a normal

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response in our brain that tells us that

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we're full so it makes it very easy to

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overeat if that wasn't bad enough

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continued consumption of fructose drives

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the development of leptin resistance

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which results in persistent hunger and

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impair satiety even with other foods not

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just fructose a study published in the

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American journal of clinical nutrition

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found in just seven days of high

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fructose diet

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increased lipid deposition in the liver

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and decreased liver insulin sensitivity

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now how do we avoid fructose well

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fructose is a simple sugar that's

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usually found in Honey fruits and root

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vegetables and humans have been

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consuming those for hundreds of

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thousands of years

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but it did not pose a health risk until

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we started eating manufactured fructose

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and sugar at large quantities now most

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fruits and vegetables contain fructose

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however our intestines can inactivate

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about four to five grams of fructose

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which is the amount we usually get from

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vegetables we get a little bit more

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fructose from fruits however fruits like

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vegetables are also consumed with a lot

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of fiber which slows down the absorption

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of the excess fructose in addition to

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that many fruits are also rich in

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vitamin C which blocks some of the

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effects of fructose and really negates

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any of the adverse effects of fructose

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that we get from fruit so that brings us

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to the first food group that we need to

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avoid to reverse your fatty liver and

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that is sugary drinks now we all know

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about the dangers of sodas and soft

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drinks but the sneaky drinks that

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contain a lot of sugars are juices which

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are often promoted as healthy frequently

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given to kids if you drink orange juice

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apple juice tomato cranberry or any type

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of juice

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please look at the ingredient label and

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see how many grams of sugars you get

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just from one serving do not be fooled

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by statements like it contains natural

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sugars or it has zero grams of added

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sugars it may be natural but it's still

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highly concentrated and it's consumed

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without the fiber they would normally

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get if you're eating a whole fruit and

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it's a lot easier to over consume sugars

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if we're getting it in liquid form as

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opposed to eating a fruit itself other

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drinks that are notorious for just being

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loaded with sugars are sports drinks and

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energy drinks now the American Heart

play04:10

Association recommends eating less than

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24 to 36 grams of sugars per day but if

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you suffer from fatty liver disease I

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would abstain from all drinks that

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contain sugars along the same lines I

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would also avoid eating dry fruit like

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dates or raisins or prunes yes they're

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natural and do not contain added sugars

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but those natural sugars are very

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concentrated and do not have the volume

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of the original Fruit which makes it

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much easier to overwhelm our GI tract

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and later our liver with fructose and

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sugars to support that a study published

play04:48

in Jama in 2019 noted that just eight

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weeks of restricting sugars in

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adolescent boys to less than three

play04:55

percent of daily calories has shown

play04:58

significant Improvement in hepatic

play05:00

cytosis another way to fix your fatty

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liver is to eat more protein and it's

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especially important to eat more protein

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for breakfast or whatever your first

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meal of the day happens to be a recent

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study published in obesity looked at

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over 9 000 Australians and found that

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getting enough protein especially for

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the first meal of the day had profound

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effects on what people ate later in the

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day and eating higher levels of protein

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for breakfast translated to consuming

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less food over the course of the rest of

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the day but people that had a low

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protein breakfast were found to eat more

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energy dense processed foods and foods

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that were high in sugars so if you find

play05:41

yourself constantly craving for those

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sugary or processed foods foods that

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will make your fatty liver worse

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try to up your protein intake especially

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for breakfast and aim to get at least 25

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to 35 grams of protein per meal if

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you're getting three meals a day getting

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enough protein will help you eat less

play06:01

sugar and will help you lose weight and

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weight loss has been shown to be one of

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the most effective ways to improve your

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fatty liver in fact just five percent of

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total body weight loss can decrease

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hepatic steatosis and losing seven

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percent of total body weight can lead to

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complete resolution of non-alcoholic

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stata hepatitis or Nash which is a more

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severe form of fatty liver now as you

play06:26

increase your protein intake you have to

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be careful about what kind of fats

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you're getting in the process animal

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meats and dairy products are wonderful

play06:35

sources of protein however we do have to

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watch your intake of saturated fats and

play06:40

those are usually found in red meat

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processed Meats butter ice cream as well

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as many fry Foods now eating red meat is

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a controversial topic and I happen to

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follow the camp of it's okay to consume

play06:53

red meat in moderation but that's a

play06:55

whole other conversation for another day

play06:57

a study published in diabetes and

play06:59

Metabolism show that while over feeding

play07:02

with either saturated fats or fructose

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both increase liver fat the group that

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was over fat with saturated fats

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increased liver fat to a much greater

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degree than the group that was overfed

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with fructose there are at least four

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human intervention studies that have

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confirmed the harmful effects of

play07:20

saturated fat on hepatic certosis but

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the one I want to highlight is a double

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blind randomized controlled trial in

play07:28

which lean individuals were overfed with

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muffins high in either saturated fatty

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acids in this case palm oil or

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polyunsaturated fatty acids this study

play07:38

used sunflower oil and what they found

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was that just seven weeks of overfeeding

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resulted in the market increase in liver

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fat in the saturated fat group whereas

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the polyunsaturated group call caused a

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nearly threefold larger increase in lean

play07:53

tissue or fat-free Mass without an

play07:56

effect on the liver so it's important to

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not overeat saturated fats and I

play08:01

emphasize not overeating as it's okay to

play08:04

eat saturated fats but in moderation

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eating more than about five percent of

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our calories from saturated fats is when

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we start getting into trouble so what

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that would look like is eating less fats

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that come from processed meats or eating

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less store or restroom bought fried

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foods or pastries as well as being

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careful with ice cream or cheeses at the

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same time we need to eat more of the

play08:27

good fats or poly or monounsaturated

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fats that come from fish nuts and

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avocados and when it comes to oils using

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olive oil is preferred to using

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saturated fats like coconut or palm oil

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the type of fat we eat is especially

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important for those that are in very low

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carbohydrate or ketogenic diets where a

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lot of the energy has to come from fats

play08:49

now keto is a very very effective way to

play08:52

lose weight and improve metabolic health

play08:54

and it's very safe as long as the

play08:57

majority of the fat content comes from

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polyunsaturated or monosaturated fats as

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opposed to saturated fats many people

play09:04

have been successful using ketogenic

play09:06

diets to reverse fatty liver however for

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just as many people that degree of

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severe carbohydrate restriction is just

play09:15

not sustainable long term but the good

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news is that cutting out carbs is not a

play09:20

requirement for fatty liver reversal and

play09:23

it's the quality and the type of

play09:24

carbohydrates that we consume that place

play09:26

a larger role in the treatment of fatty

play09:28

liver eating carbs that have a low

play09:30

glycemic index meaning they do not cause

play09:33

wild swings in your blood sugar are much

play09:36

better for your liver health and carbs

play09:37

that are high in the glycemic index so

play09:40

while lowering our carbohydrates is

play09:42

generally a good idea for most people I

play09:45

wouldn't worry as much about consuming

play09:46

lower glycemic index carbohydrates that

play09:49

come from legumes Dairy vegetables or

play09:52

fruits and I would stay away from high

play09:54

glycemic index carbohydrates like white

play09:57

bread white rice most breakfast cereals

play10:00

and processed potatoes like french fries

play10:03

or chips to wrap this up other things

play10:06

that are highly beneficial in reversing

play10:08

fatty liver disease disease is

play10:10

abstaining from alcohol in addition to

play10:12

that getting at least 150 minutes of

play10:15

moderate intensity activity per week and

play10:18

making sure to include resistance

play10:19

training or muscle building exercises at

play10:23

least two days a week would also help to

play10:25

restore your liver to Good Health if you

play10:27

do all of the things I mentioned in the

play10:29

video you will see changes in your liver

play10:32

biomarkers in the matter of weeks as

play10:34

seen in the studies we discussed earlier

play10:36

and you will eventually fully reverse

play10:39

your fatty liver it is important to do

play10:41

those as soon as possible before your

play10:44

liver turns into a more severe form of

play10:46

fatty liver like Nash or stiata

play10:48

hepatitis and eventually to fibrosis and

play10:51

even cirrhosis at which point a liver

play10:54

transplant is our only option now if you

play10:56

like to enhance your recovery you can

play10:58

also try adding supplements to the food

play11:00

changes we discussed now to be clear you

play11:03

do not need any supplements to fix your

play11:05

fatty liver as long as you eat the right

play11:08

things and you use real Whole Foods as

play11:11

your medicine however there are

play11:13

supplements that actually show some

play11:15

promise and could be useful in

play11:17

Expediting recovery first therapy with

play11:20

vitamin E at 800 international units a

play11:23

day was actually associated with a

play11:25

significantly higher rate of improvement

play11:27

of static hepatitis compared to Placebo

play11:30

I would however discuss vitamin E

play11:32

supplementation with your doctor first

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as high doses of vitamin E High meaning

play11:38

greater than 400 international units per

play11:40

day have been inconsistently associated

play11:42

with an increase in all cause mortality

play11:45

as well as an increase in the rate of

play11:47

prostate cancer so the recommendation to

play11:49

supplement vitamin E is usually reserved

play11:52

to patients with a more advanced fatty

play11:54

liver disease second I would also

play11:56

consider taking omega-3 fatty acids a

play11:59

meta-analysis published in clinical

play12:01

nutrition in 2018 showed the

play12:03

supplementation with Omega-3s especially

play12:06

fish oils like DHA was associated with

play12:09

an improvement in liver markers like alt

play12:11

and AST as well as with a reduction of

play12:14

liver fat lastly choline has been

play12:17

gaining in popularity as a treatment for

play12:19

fatty liver and a recent case control

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study show that people that consume high

play12:24

intake of choline and betaine had an

play12:27

Associated 81 reduction in hepatic

play12:30

steatosis however we still need more

play12:32

conclusive research on if the

play12:34

supplementation with choline is actually

play12:36

beneficial for most people and not just

play12:38

those that are calling deficient and at

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what dose do we actually get any kind of

play12:42

therapeutic benefit until we get more

play12:44

data I would make sure you get enough

play12:46

clothing for your food which means

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eating plenty of eggs with egg yolk in

play12:51

them lean meats Dairy as well as getting

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enough Seafood which also happens to be

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very rich in omega-3 fatty acids and if

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you don't eat meat then I would focus on

play13:01

getting your cooling from yogurt

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sunflower seeds and cruciferous

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vegetables like broccoli cauliflower or

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cabbage now this is not a full list of

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supplements that are commonly used to

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treat fatty liver but I will make a

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separate video on that down the road as

play13:17

it does deserve quite a bit more

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attention I hope this video was helpful

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and I will see in the next one

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