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Gastrointestinal Disorders
Question #19874
1 year ago
1,615

Fatty liver grade 2 - #19874

Anandapadmanaban

I am diagnosed as fatty liver grade 2 .suggest me a diet or a vegetarian meal plan to be follwed. My median stiffness is 8.1 kpa and CAP is 349dB/m. Doctor advised to come for review after making life style changes and dietary changes. No medicine prescribed. Suggest me medicines and diet to be followed. I have to strain myself to pass stools. Iam also diabetic for 7 years and for the past one month sugar is under control after taking metformin, gp 1 mg and sitagliptin 50 mg. One month back my HbA1c was 9.4. fasting sugar 200 and PP sugar 350. Now fasting sugar is 120. Pls suggest.

Age: 52
Chronic illnesses: Diabetic for 7 years
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Doctors' responses

Hello, In Ayurveda, this condition is generally linked to Kapha and Pitta imbalance, leading to improper fat metabolism and toxin accumulation. Since you are also diabetic, managing both blood sugar levels and liver health is crucial through diet, lifestyle, and supportive Ayurvedic measures. While specific Ayurvedic medicines require a personalized assessment by a Vaidya, here’s a general vegetarian diet plan and lifestyle advice that can support your recovery.

Diet Plan Early Morning: Warm water with lemon and a pinch of turmeric to detoxify the liver. Soaked almonds (5-6) and walnuts (2) for healthy fats. Breakfast: Oats or broken wheat porridge with flaxseeds and a sprinkle of cinnamon. Fresh fruit like apple, pear, or papaya (avoid mangoes and bananas). Mid-Morning: A glass of buttermilk with roasted cumin seeds or a small bowl of boiled moong dal sprouts. Lunch: Steamed or lightly cooked vegetables like bottle gourd, pumpkin, or ridge gourd. Brown rice or millet roti (ragi, jowar) with a dal made from green gram or masoor dal. Add a teaspoon of cow’s ghee to support liver function. Afternoon: Amla (Indian gooseberry) juice or a small handful of roasted chana for fiber. Evening: Herbal tea with ginger and mint or coriander seeds tea. Dinner: Vegetable khichdi with moong dal, turmeric, and cumin. Steamed greens like spinach or methi. Avoid curd or heavy foods at night. Before Bed: Warm water or Triphala tea for digestion and constipation relief. Practice regular walking or yoga for 30-45 minutes daily. Yoga asanas like Pavanamuktasana, Bhujangasana, and Ardha Matsyendrasana stimulate the liver and aid digestion. Perform Pranayama like Anulom Vilom and Kapalbhati to reduce stress and balance metabolism. Manage stress through meditation and avoid late-night screen exposure. Follow a fixed sleep schedule and get 7-8 hours of quality sleep. Additional Tips Avoid processed foods, sugary drinks, fried items, and refined flour. Limit oil consumption and use cold-pressed oils like sesame or olive oil. Keep salt intake low to manage blood pressure and fluid retention. Stay hydrated by drinking sufficient water throughout the day. While these lifestyle changes will support your liver health and blood sugar control, consider periodic reviews and further evaluations. For personalized Ayurvedic medicines, detailed history taking is essential.

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Anandapadmanaban, since you have fatty liver grade 2, diabetes, and constipation, your diet should focus on reducing liver fat, maintaining stable blood sugar levels, and improving digestion.

1.Tab Liv -52 1 tab twice daily after food 2.Tab.madhunashini vati 1 tab twice daily before food must be chewed 3.Tab .Giloy ghan vati 1 tab twice daily after food with warm water 1/4 tsp methi seed must be soaked overnight and morning should be chewed in empty stomach Walk daily for 30 minutes

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Hello As per your explanation u have been diagnosed diabetes recently As ur fatty liver reduced & cholesterol the sugar level also will be controlled very well it’s all interlinked .

Avoid these things day sleep, mango , jackfruit, banana sapato custard apple, sweet, vegetables - potato, sweet potato, beetroot Avoid oil fried items, polished rice Take a good amount vegetables and fibre rich vegetables

Do walk atleast 30mins in morning and evening 30mins Take red rice If your upma or rice pulao then use high portion of vegetables to it In morning take aloevera juice Or Flax seed & methi seeds each 1 teaspoon fry it and powder it consume it in morning empty stomach 1/2tsf with glass of warm water for 15 days in month and stop for 15 days Take fresh buttermilk with jeera powder in afternoon before food

1) arogyavardini vati 1-0-1 after food 2) cardorium plus 5ml-5ml-5ml with 5ml water after food 3) triphala choorna 0-0-1/2tsf with glass warm water at bedtime This medicine will help in fatty liver and digestion process, cholestrol and then your sugar level will also reduce. Do follow this for month then reconsult me within 3 months you can find changes in fatty liver or overall health.

Thank you

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Hello Anandapadmanabhan, could you please share any recent liver function tests or detailed reports about your fatty liver condition, such as ALT, AST, and ultrasound results? Additionally, how often do you experience constipation, and what does your current diet look like? In Ayurveda, managing fatty liver involves balancing the liver function and improving digestion. For this, you can consider herbal formulations like Liv52, Triphala, and Guduchi, which help detoxify and support the liver. For your diet, focus on high-fiber, low-fat vegetarian foods like whole grains (brown rice, oats), green leafy vegetables, and fruits like apples, pears, and berries. Avoid processed foods, fried items, and excess sugar, as they can worsen both your liver and diabetes. Also, include spices like turmeric, ginger, and cumin to aid digestion and support liver health. Regular physical activity like walking can also support both your liver and blood sugar control.

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When dealing with grade 2 fatty liver, it’s crucial to focus on both diet and lifestyle modifications whic can significantly influence liver health. As a diabetic, we need to keep blood glucose levels in mind while adressing liver.

First, in terms of diet, prioritize foods that enhance liver function and also maintain stable blood sugar levels. Start your day with a glass of warm water and add a daily dose of freshly squeezed lemon juice, which can stimulate liver metabolism. Your meals should consist of foods with a low glycemic index (GI), to help keep your blood sugar stable, as you already know. Green vegetables like kale, spinach, and bitter gourd are beneficial for both your liver and diabetes management.

Incorporate whole grains like quinoa, millet, and barley – options that provide essential fiber, aiding digestion, and promote regular bowel movements. Include in your meals lentils, beans and other legumes, which provide protein without unhealthy fats.

Mustard oil or ghee should be preferred for cooking, used sparingly, as they are considered lighter and more easily digestible. Avoid processed foods, deep fried items, and heavily spicy dishes as they can strain both liver and digestion further. Drink herbal teas such as turmeric or ginger tea to aid digestion.

It is also advisable to follow a daily routine of yoga, particularly asanas like pavanamuktasana and matsyendrasana, which promote healthy liver function and improve bowel movements. Practice pranayama to calm your mind and balance doshas.

For constipation, Triphala churna can be beneficial, taken an hour before bedtime, mixed in warm water. It is mild, natural, and helps with regularity. However, ensure you drink adequate water throughout the day as hydration is crucial.

In Ayurveda, herbs like Bhumamlaki and Kalmegh have been used to support liver health. You might consider these but consult a local practitioner, as they will provide guidance on appropriate dosages and prevent any interactions with your current medications.

Remember, maintaining a consistent lifestyle, and avoiding rapid changes that stress the body, is crucial for sustainable health improvements. Follow up with your healthcare provider, do not hesitate to seek immediate advice if any symptoms worsen.

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