How to treat insulin resistance and high triglycerides with fatty liver and obesity? - #55349

Your symptoms and reports suggest a metabolic syndrome pattern involving obesity, insulin resistance, high triglycerides, and grade 2 fatty liver. Since your weight is around 130 kg with long-standing metabolic imbalance, treatment should focus not only on cholesterol control, but also on improving metabolism, digestion, liver function, and gradual sustainable weight reduction together. From an Ayurvedic perspective, this condition can be correlated with Kapha-Meda imbalance along with impaired metabolic function (Agni dushti). Ayurvedic approach may include: • Triphala Guggulu – 2 tablets twice daily after food • Nishakathakadi kashayam – 15 ml with half glass warm water twice daily before food • Arogyavardhini Vati – 1 tablet twice daily after food (only under supervision, especially if already taking other liver/cholesterol medicines) Diet and lifestyle are extremely important in this condition: • Avoid sugar, bakery foods, deep fried foods, soft drinks, processed foods, alcohol, and late-night eating • Avoid frequent snacking and irregular meal timings • Prefer freshly cooked lighter meals with adequate protein and fiber • Maintain regular physical activity and daily walking/exercise consistently Fatty liver and high triglycerides improve mainly through long-term lifestyle consistency and weight reduction rather than short-term medicines alone. Since you already have multiple metabolic issues, periodic monitoring of: • fasting sugar / HbA1c • lipid profile • liver function tests • blood pressure • body weight and waist circumference is important during treatment. A detailed direct consultation with review of current medications and reports would help in planning a safer and more individualized long-term treatment approach.