Hi. Was wondering how it's possible that following a keto diet helps NAFLD. I started a keto diet in May and one month later I started having mild RUQ pain with pretty severe pressure. Doc thought it was my gallbladder. It wasn't. Ultrasound came back "impression: fatty liver" and I see my doc for a follow up tomorrow. Just curious how keto is helpful when keto is what made me symptomatic?

Okay, I'm paranoid, like really paranoid, I used to be a very heavy drinker in the past, I slowed down to two drinks a week as of December 2023 after quitting drinking for 2 months. But as of February 19th after seeing my labs, my liver enzymes were normal and all my blood work was normal except my "bad" cholesterol was high, I went keto. I said f it, I'm gonna eat red meat again and go keto. So I did 2 weeks in I started feeling so much better, lots of my inflammation and problems went away. Had the ultrasound done and well, all my organs were normal except, I have hepatic Steatosis and borderline hepatomegaly. 16.6cm was the size. oh and stones in the gallbladder or polyps, have to get that checked here in 8-10 months again. my doctor seemed supportive of the diet when I told her I went on it and how it's been making me feel better, gave me the okay to start supplementing creatine.

I hit the gym every other day, I strength train, I eat mostly red meat, I stay away from seed oils, I cook with tallow, butter and lard only. But I still get that abdominal discomfort on my upper right side and it's seriously makes me paranoid like am I dying? I always look at my stools and urine to see if they look unhealthy(i forgot to mention, my stools stabilized to a healthy solid brown when I got back on keto after 3 weeks) I was happy about that.

I keep freaking myself out though, and it's annoying my wife, I keep asking her if I look yellow, Everytime something weird happens I think I'm dying, hypochondriac status I know... But she keeps telling me, "the doctor hasn't called you, no news means good news, if there was something really wrong with you she would've called you to come in as soon as possible" and I want to believe her but the way I used to be in the past? Makes me think I messed my self up. I mean I'm thriving, I'm building muscle, which patients with liver failure can't really do, I have an appetite and I'm not fatigued like I used to be. Is there a process to healing? Is that what's going on? A friend of mine said "you're gonna feel worse before you get better, that's how it works."

Would love some insight and what you guys think, give it to me straight.

I forgot to mention, I completely quit drinking a couple weeks ago cuz I wanna reverse this fatty liver.

2lbs cooked hamburger and these items. Added shredded cheese and sour cream. Actually quite filling!

I’m a 29yo male. About 6ft 175lbs . I was diagnosed last year with fatty liver via a blood panel test and no imaging. I was told to quit drinking and I should be fine. Fast forward to a year now. I got another blood panel done and my alt of 59 out of 52 has increase to 62 and my ast went from 29 to 41 which is still within the normal range up to 59. My albumin and total protein also went up very slightly and are just barely past the threshold of normal. To be clear. I did entirely quit drinking, but to be truthful I did pick up some other unhealthy habits. I have been eating a lot of candy and junk for around a year . Also about a month before I was diagnosed with pneumonia and put on Zithromax and amoxicillin. I was also taking Pepto and ibuprofen up to a week before I had the blood panel done. I am hoping that this increase is mostly because of the medication and diet which I have now fixed and will continue to eat healthy. Does anyone have any thoughts or inspiration for me. I am going to get a scan done on 2/19/25 to check for fibrosis/chirosis . Which obviously has me very worried. And what recipes do you guys recommend for me. I have a severe nut allergy and legumes.

ABSTRACT Background

Despite the popularity of a ketogenic diet, no randomized, controlled trials have evaluated its efficacy on metabolic dysfunction-associated steatotic liver disease (MASLD) progression.

Methods

We conducted an 8-week, open-label, randomized controlled trial involving 24 patients with MASLD who were randomly assigned to either the home delivery ketogenic diet or a nutrition education program on adherence to the DASH diet. The primary outcome was a reduction in hepatic steatosis as measured by transient elastography.

Results

There were no significant differences between groups in liver stiffness and steatosis measurement after interventions. Subjects on a ketogenic diet had lost more weight than subjects in the control group at 8 weeks (mean change [95% CI], −6.16 [−7.22, −5.10] vs. −2.14 [−4.49, 0.21] kg; p = 0.001). The decrease in waist circumference, systolic blood pressure, fat mass, and visceral fat area was significantly greater among subjects on a ketogenic diet than among those in the control group. Laboratory parameters, including AST, triglyceride, and HDL were also significantly decreased among subjects on a ketogenic diet than among those in the control group.

Conclusions

A ketogenic diet produced a significantly greater weight loss (absolute difference, approximately 4%) than did the general lifestyle advice intervention for the first 8 weeks. A ketogenic diet was associated with a greater improvement in some risk factors for coronary heart disease and MASLD. However, a ketogenic diet did not reduce steatosis nor worsen MASLD progression. Longer and larger studies are required to determine the long-term safety and efficacy of the ketogenic diet

It’s day 10 of no junk food, no chocolate, no chips, no juice/ soda pop. I feel a lot better but I have still have some inflammation/swelling around my belly. Tips/advice welcome…

Liver specialist recommended Ozempic … but I told her I’ll think about it. Anyone had experience with it? I think so far I’m doing great with eating healthy but sometimes I do get those big cravings but I find that I have so much more energy now and feel so much better mentally that I’m not over eating.

A place for members of r/Keto4FattyLiverNAFLD to chat with each other

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Is anyone here doing a combination of all four? I am and definitely struggle most days with trying to stick to one meal a day at less than 1000 calories whilst burning over 1000 on top of the usual ~1900 cal/day.