Treatment Options for Fatty Liver Disease
Fatty liver disease is a condition with fat build-up in the liver. There are two types of fatty liver disease:
- Metabolic dysfunction-associated steatotic liver disease (MASLD). This is sometimes called nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis
- Alcoholic fatty liver disease. This is sometimes called alcoholic steatohepatitis.
The objective of treatment for fatty liver disease is to slow down the progression of the disease, control symptoms, and prevent complications. Addressing the underlying causes and making certain lifestyle changes can help stop or even reverse the progression of the disease.
It's important to note that fatty liver disease can affect both adults and children. Treatment for children focuses on stopping the progression of fat buildup in the liver and avoiding liver damage. This may involve following a weight loss plan, increasing physical activity, following a modified diet with healthier foods, and managing conditions like diabetes or prediabetes.
If you have concerns about Fatty Liver Disease or its treatment, it's best to consult with a doctor who can provide suitable advice tailored to your specific situation.
When it comes to treating fatty liver disease, there are several recommended potential treatments that can have a positive impact on the condition. These treatments can be grouped into three categories: Lifestyle behavior modification, Medications, and Therapeutic Procedures. Let's take a closer look at each of these treatment options:
Lifestyle behavior modification:
- Abstaining from alcohol: It is important to avoid consuming alcohol as it can worsen liver damage. This is a primary treatment recommendation for alcoholic fatty liver disease.
- Eating a healthy diet: A well-balanced diet that is low in saturated fats, refined sugars, and processed foods can help improve liver health.
- Reduce excess weight: Losing weight gradually and maintaining a healthy weight can reduce inflammation and fat in the liver. Weight loss is often one of the primary treatment recommendations for MASLD.
- Exercising regularly: Engaging in moderate-intensity aerobic exercise for at least 150-200 minutes per week is beneficial for managing fatty liver disease.
Medications:
- Medications to treat metabolic conditions, such as high cholesterol, high triglycerides, or diabetes.
- Medications may be prescribed to manage specific symptoms related to fatty liver disease. For example, cholestyramine may be prescribed to reduce facial and skin itching caused by the disease.
- Thyroid hormone receptor (THR)-beta agonists: This is a newer treatment that may be prescribed for people with MASLD with early liver damage. It works by keeping the liver from forming fat.
- Vitamin E supplementation: Some studies suggest that vitamin E supplementation may help treat Non-Alcoholic Fatty Liver Disease (NAFLD) in adults. However, it is important to consult with a doctor before starting any supplements.
- Angiotensin receptor blockers: These medications have shown potential in inhibiting the progression of Non-Alcoholic Steatohepatitis (NASH). However, their use may be limited due to their blood pressure-lowering effects.
- Vaccinations: For people haven’t previously been vaccination or had viral hepatitis, the doctor may recommend getting Hepatitis A and Hepatitis B vaccine to prevent getting these viral infections. People who have fatty liver disease and get Hepatits A or Hepatitis B have a higher chance of developing liver failure.
Therapeutic Procedures:
- Bariatric surgery: For individuals with obesity and NAFLD, bariatric surgery may help improve the condition of the liver by promoting weight loss.
- Liver transplantation: In cases of liver failure, liver transplantation may be the only option. However, this is usually considered as a last resort, requires careful evaluation and follow-up, and availability of a suitable donor liver.
It's important to note that while these treatments have been suggested as potential options for fatty liver disease, it is always best to consult with a healthcare professional before starting any new treatment or taking over-the-counter medicines, vitamins, or supplements to be sure they are safe to use with liver disease. The healthcare professional will be able to provide personalized recommendations based on your specific condition and medical history.
Medication dosing may be affected by many factors. Check with your health care professional about dosing for your individual situation. Other side effects can occur. Check with your health care professional or read the information provided with your medication for additional side effect information.