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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed For Fatty Liver. Hypothyroid, Gaining Weight. Advised To Avoid Alcohol And Change Of Diet. Suggestions?

I have just been diagnosed with fatty liver . I have come through a period in my life of major emotional trauma . I was drinking heavily during that time as a coping mechanism . This diagnosis is very upsetting but apart from my doctor telling me to modify my diet and avoid alcohol is there anything else I can do . I have gained a lot of weight and also have an under active thyroid .
Fri, 16 Aug 2013
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General & Family Physician 's  Response
Hello,
The best treatment for fatty liver caused by excessive alcoholism is total abstinence from alcohol,plenty of fresh fruits and green vegetables,plenty of water and regular aerobic exercises for at least 45 minutes a day.
Avoid deep fried foods and if your cholesterol levels in blood are high,start taking statins for it.
Control your under active thyroid by proper medications.
Although various types of medicines are being prescribed for fatty liver ,but their role is doubtful and debatable.
Thanks
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response

Hi,
Thanks for using Healthcaremagic,

After going through available details you have Hypothyroidism, Fatty liver due to Alcohol injury, and overweight.

It is true first treatment of alcohol-induced liver disease is cessation of alcohol consumption. This is the only way to reverse liver damage or prevent liver injury from worsening.

Diet high in protein, with frequent small meals eaten during the day, vitamin and mineral supplementation is given. Dietary fat must be reduced.

Carnitine, Vitamin C and antioxidants are helpful. You can take help of Dietitian.
Please continue to take Thyroxine supplement as suggested by your doctor.
Lipid Profile and Liver function test may be done if not already done.

Taking healthy lifestyle, regular exercise, yoga and meditation are helpful.
Your Gastroenterologist may want to give OBT (Oral bile acid therapy) like UDCA.

Correcting Thyroid status also help to keep Cholesterol to normal level if required statin may be added.

Hope this helps.
Take care
Good Luck.
Dr.Akhilesh Dubey M.D.
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Diagnosed For Fatty Liver. Hypothyroid, Gaining Weight. Advised To Avoid Alcohol And Change Of Diet. Suggestions?

Hello, The best treatment for fatty liver caused by excessive alcoholism is total abstinence from alcohol,plenty of fresh fruits and green vegetables,plenty of water and regular aerobic exercises for at least 45 minutes a day. Avoid deep fried foods and if your cholesterol levels in blood are high,start taking statins for it. Control your under active thyroid by proper medications. Although various types of medicines are being prescribed for fatty liver ,but their role is doubtful and debatable. Thanks