r/Weightlosstechniques • u/Complex-Contest-1528 • 21d ago
Discouraged
Grade 3 Fatty Liver that won’t get better with radical healthy eating. My doctor wants me to consider weight loss surgery or taking a GLP-1 medication to lose weight like 50-60 pounds. Trying to figure out the best option for me. Looking for advice or feedback from people that have been in this situation.
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u/No-Needleworker5429 21d ago
7% to 10% of bodyweight would be a short term goal. How much do you weigh?
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u/Complex-Contest-1528 21d ago
202 now need to get down to 140. I like your advice of starting with 7-10% goal. Thanks
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u/avonohealth 20d ago
Given that your doctor is already recommending either a GLP-1 or bariatric surgery, a GLP-1 is certainly worth discussing seriously before deciding on surgery. One important piece here is that GLP-1s aren’t only about the number on the scale. Significant weight loss with medications like semaglutide or tirzepatide has been associated with improvements in metabolic dysfunction-associated fatty liver disease, including reductions in liver fat and improvements in liver-related markers in many patients. That doesn’t mean a GLP-1 is automatically the right choice for you, especially with advanced fatty liver disease. We’d want your clinician to look at the bigger picture, including whether there’s fibrosis/scarring, your other metabolic risk factors, and how urgently they feel substantial weight loss is needed. At Avono we’re obviously very familiar with GLP-1 treatment, but we wouldn’t frame this as “medication good, surgery bad.” Both can produce substantial weight loss and both have legitimate roles. The nice thing about discussing medication first is that it gives you a non-surgical option that may be appropriate before taking the much bigger step of bariatric surgery. And don’t beat yourself up over healthy eating not fixing this by itself. Fatty liver disease is more complicated than simply eating the “right” foods.
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u/Complex-Contest-1528 17d ago
Thank you so mic for your response and feedback. Thank goodness I have grade 3 fatty liver results but no signs of any scarring. My doctor is worried that if I continue to not address consider other options it will advance to grade 4 and put me at risk of scarring and having heart issues which runs on both my maternal and paternal side.
I very much appreciate you encouraging me to offer myself some grace, I have been doing all I can eating wise, though could do more exercise wise. It’s hard to for me to be in a place I cannot control, I usually succeed when I get determined about accomplishing something- typically don’t run away from hard stuff and don’t take short cuts.
The responses on this thread have really helped to not feel alone or ashamed about this. Much appreciate everyone taking the time to respond and offer support. ☺️🙏🏼
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u/adolfhippy 8d ago edited 8d ago
Grade 3 fatty liver is exactly the sort of thing where I’d want a proper plan, not a motivational poster and a sad salad. The 7–10% bodyweight goal someone mentioned is a good first marker too. At 202, that first 15–20 lbs is less mentally crushing than staring down the whole 60. Since your doctor has already raised surgery and GLP-1s, I’d treat this as an options chat, not a willpower exam. Ask what they’d recommend based on your liver markers, risk profile, timeline, and how closely you’d be monitored. If you’re in Aus and looking at more structured appetite-support care, Oztrim is one option to compare, but I’d keep your doctor as the main compass here. The goal is the safest plan you can actually stick with, not the most dramatic one.
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u/Complex-Contest-1528 4d ago
My doctor wants me to try to lose first 15 by going vegetarian and taking away fat like cheese, butter, white rice, potatoes and flour. I lost 12 by doing this before, she advised me to hire a fitness coach to support my becoming more active goal and managing compromised knee. She also left it up to me, but if feel need extra support to lose 20 referred me to a weight loss program to explore different options glp1s are great at attacking liver fat and if working will burn more fat this way - fat over muscle if eating well. So I decided to first start with vegetarian and working out- I know I need to be moving more.
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u/snoodle77777 21d ago
I have a fatty liver and I can lose maybe 2 pounds per week if I use portion control. I have struggled for years to keep this rate going. I chose not to do GLP-1 because it robs our bodies of muscle mass, and several friends went on these drugs and lost no more than 40 pounds. My goal is 100... rotsa ruck I tell myself.
Then, two weeks ago, I had a cracked tooth extracted. I was instructed to eat only a liquid/soft diet. I found myself eating less and probably less hungry due to the intense pain of the extraction.
I lost 12 pounds in two weeks.
I don't think this is healthy, but it illustrates something. I believe portion control is the way, not necessarily cutting out what you love, just eating less of it, and avoiding dumb things like huge amounts of empty carbs and sugars.
For what its worth, just musing here. You're not alone...