How to improve liver condition - diagnosed with steatohepatitis - #34138
I am 55 years old, height 170 cm, weight 81 kg, I have a sedentary job, I exercise occasionally, but not regularly. Two months ago, during a preventive ultrasound of my abdomen, the doctor told me that I have fatty liver (steatohepatitis). Before that, I had blood tests - cholesterol 6.1, LDL 3.62, HDL 1.4, TGL 2.38 - other things and heart examination were fine. I did not have a liver problem before, I think it arose after I took a large amount of paracetamol last September and October (extensive herpes zoster, quite severe pain). I drink alcohol little, e.g. 2-3 times a week a glass of wine or a cocktail. I do not have any major problems, but my digestion is not completely normal, sometimes bloating or diarrhea. So far, on the doctor's recommendation, I have limited fats, I take silymarin, neem. Based on what I've read so far, I'm considering using Patanjali-Livogrit vital or Livamrit advance, but I don't know which is more suitable, or whether, for example, first take Livamrit for a while, which is said to detoxify more, and then Livogrit? Or should I supplement it with Divya Lipidom for cholesterol? I don't take other medications - only Divia mukta vati for about 8 years, but now not regularly, only about 3 times a month, when my blood pressure increases (I measure my blood pressure, it's usually good, sometimes it fluctuates, sometimes it's even low). Thank you for the advice.
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Doctors’ responses
Hello Marta
I can understand your concern about steatohepatitis but dont worry we are here to help you out😊
✅WHY STEATOHEPATITIS HAPPENS
From both modern & Ayurvedic view:
Fatty accumulation + inflammation in the liver (often triggered by medicines like paracetamol, alcohol, high fat/sugar diet, stress).
In Ayurveda, this resembles Yakrit vriddhi / Medoroga due to Kapha–Pitta imbalance and Mandagni (weak metabolism).
Your raised cholesterol & triglycerides also suggest metabolic slowing.
✅AYURVEDIC PLAN OF TREATMENT
✅AYURVEDIC FORMULATIONS
1 Livamrit Advance – better choice initially, as it is more detoxifying, reduces inflammation, helps in repairing liver cells.
2 After 2–3 months, you may shift to Livogrit Vital – it is more for long-term liver strengthening and function maintenance.
3 Divya Lipidom – can be added if cholesterol & triglycerides remain high after 2–3 months.
👉 Suggested order
Start with Livamrit Advance (2–3 months) ➡️ then Livogrit Vital (long term) ➡️ add Lipidom if lipid profile still not normal.
OTHER CLASSICAL. AYURVEDIC FORMULATIONS
1 Bhumi Amla (Phyllanthus niruri) syrup 15ml-15ml-15ml after food – excellent for fatty liver.
2 Triphala 1 tsp with warm water at night – for digestion & detox.
✅DIET MODIFICATION
✅ Include-
Warm, light, home-cooked meals (khichdi, mung dal, lauki, pumpkin). Bitter & green veggies (karela, methi, spinach). papaya, apple, pomegranate. Spices: turmeric, ginger, black pepper (mild, not very hot). Cow’s ghee in small quantity – helps bile flow. Herbal teas: cumin-coriander-fennel water, green tea.
❌ Avoid
Fried, oily, junk, packaged food. Excess milk, paneer, cheese. Alcohol, carbonated drinks. Refined sugar, bakery, excess rice/wheat.
✅LIFESTYLE MODIFICATION
Weight management - aim for gradual loss (0.5–1 kg per month). Exercise- at least 30–40 mins brisk walk or yoga daily (Kapha-reducing). Pranayama- anulom-vilom, kapalabhati (gentle, not forceful). Early dinner (by 7:30 pm). Maintain 12–14 hrs gap between dinner & next breakfast (intermittent fasting supports liver).
✅MONITORING
Repeat Liver Function Tests (LFT) & Lipid Profile every 3–4 months.
👉Start with Livamrit Advance for 2–3 months. 👉Shift to Livogrit Vital long term. 👉Add Divya Lipidom if lipids remain high. Support with Bhumi Amla + Triphala (if possible). Strict diet & regular exercise are equally important.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
Thank you MARTA for reaching out this platform and sharing your health issues From what you have shared , it looks like your your liver changes are still in the early stage which is good because fatty liver can be reversed very well with proper care ACC to ayurveda this is due to disturbance of digestive fire and accumulation of excess fat and ama I.e toxic residue in the liver channel Which leads to sluggish metabolism Your history of paracetamol use , pain and some digestive irregularities have likely put extra stress on the liver which den lead to fat deposition In your case I would suggest to start on Livamrit advance 1 tab twice daily after food Which will work as a mild detox for your liver Tab lipids 1 tab twice daily after food You can continue neem and silymarin Take Alovera juice 10 ml with equal quantity of water on empty stomach once daily Triphala churna- 1 tsp with warm water at night Have warm freshly cooked food with more vegetables whole grain lik red rice brown rice millets and easily digestible protein lik moong dal green gram sprouts Avoid refined flour exc sugar fried foods and heavy evening meals Include vegetables lik methi karela drumstick bottle gourd Drink cumin fennel coriander tea Walk briskly for 30 to 40 minutes atleast 5 days a week Yoga lik bhujangasana pawanamuktasana will be helpful Practice pranayama meditation Avoid skipping meals or fasting Reduce alcohol to once in a while , Follow this for atleast 3 months then repeat your LFT , then definitely you will notice some significant improvements
HELLO MARTA,
WHAT IS HAPPENING IN YOUR BODY? Your liver normally processed food, filters toxins, and regulates fats. In steatohepatitis, two things are going on 1) Fat deposition in liver cells (like oil stored in a sponge) 2) Inflammation (the liver gets irritated and a little damaged)
This makes the liver work harder . If not corrected, it can progress, but the good news is- at your stage, it is reversible with proper lifestyle and Ayurvedic treatment
TREATMENT GOALS -Reduce fat accumulation -cool down liver inflammation -improve digestion and metabolism -strengthen liver cells -balance cholestrol and triglycerides - purify blood and support circulation -prevent progression to fibroids/cirrhosis
INTERNAL MEDICATIONS
1) FOR LIVER DETOX AND REGENERATION
-LIVAMRIT ADVANCE= 2 tabs twice daily after meals for 3 months =it clears toxins, supports pitta balance, and reduces liver inflammation
-Later switch to Livogrit- 2 tabs twice daily for 6 months =stronger in improving metabolism and reducing fat buildup
2) FOR CHOLESTROL AND FAT METABOLISM
-DIVYA LIPIDOM= 1 tab twice daily after meals for 3-6 months =helps reduce cholestrol and triglycerides naturally
-Alternative= TRIPHALA GUGGULU= 2 tabs twice daily =clears channels, improves fat metabolism
3) FOR LIVER CELL PROTECTION
-BHUYAMALAKI CAPSULES= 500mg twice daily =a proven hepatoprotective herb
-AROGYAVARDHINI VATI= 1 tab twice daily with warm water =cleanses liver, improves bile secretions, helps in fat digestion
4) FOR DIGESTION (if bloating/loose stools continues)
-AVIPATTIKAR CHURNA= 1/2 tsp with warm water after meals
OR HINGWASTAKA CHURNA= 1 gm before meals with ghee
EXTERNAL THERAPIES 1) OIL MASSAGE= with neem oil weekly- improves circulation and reduces fat
2) Mild steam after massage helps in detoxification
LIFESTYLE CHANGES -wake up before sunrise -drink warm water with lemon or 1 tsp aloe vera juice -avoid day sleeping it increases kapha/fat -early dinner, light, and easily digestible -regular walking- minimum 30-40 min daily
YOGA ASANAS -bhujangasana -ardha matsyendrasana -dhanurasana -naukasana -suryanamaskar= 6-12 rounds slowly
PRANAYAM -Anulom vilom= 10 min morning//evening -Kapalbhati= gentle, start with 30 strokes/day, increase slowly - burns fat, detoxifies liver -Bhramari= calming effect, good for bp
DIET -green leafy vegetables- spinach, methi, bathua, drumstick leaves -Bitter foods= karela, neem leaves, methi seeds -whole grains= barley, oats, red rice, millet -lentils, mung beans, horse gram goof for metabolism -fruits= papaya, apple, pear, orange, pomegranate, avoid excess sweets fruits like mango/banana -spices= turmeric, black pepper, cumin, coriander, ajwain, ginger -herbal teas= green tea, cumin-coriander - fennel
AVOID -alcohol better to stop fully -deep fried, oily, spicy junk food -red meat, organ meat, processed meats -white flour, bakery, biscuits, cakes -excess dairy (cream, butter, cheese) -packaged juices, sugary drinks
HOME REMEDIES -warm water. + 1 tsp turmeric + pinch black pepper daily morning -Amla juice 20 ml = rich in antioxidants, supports liver -Methi seeds soaked overnight taken in morning- reduces cholestrol -aloe vera juice= 15ml cleanses liver -1 clove garlic daily- natural lipid regulator
-Your condition is reversible with discipline -Ayurveda works by correcting digestion, metabolism, and nourishing the liver- not just temporary symptom relief -Pateince is needed- at least 6-12 months for visible improvement -Modern + ayurvedic approach together is safest -Avoid experimenting with too many formulations at once- follow a step-by-step plan
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello Matra
A few changes in your lifestyle, diet paired with medication will give you miraculous results.
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Tab. Live 52 DS 1 tab twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food. Tab. Kamdudha Vati (praval yukt) 2 tabs twice a day before food. Syp. Bhunimbadi Kadha 2 tsp twice a day before food.
Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.
Dear Marta Don’t worry some of lifestyle changes and herbs will help you to gain your liver and gut health. Avoid Alchohol. Avoid spicy, oily and processed foods. Regular exercise. Increase intake of raw vegetables and processed foods. Tab. Bhringraj 2-0-2 Tab. Guduchi 2-0-2 Follow up after 4weeks
I will adv you to once check fibroscan
And you have to change your lifestyle, look liver is the organ which can be recover completely So you have to Avoid alcohol Avoid over eating and oily and spicy food
Rx Punarnava tab 1-0-1 Liv 52 syp 1 tsf Twice a day
Hello Marta Knowing your problem, you can start with Divya Livamrit advance 1-0-1 x2 months Get your reports done , do fibrosccan Later shift to Livamrit 1-0-1 after food with water Lipidom 1-0-1 also after food with water Add Avipattikar tablet 1-0-1 after food with water Continue Divya Mukta vati , check blood pressure on regular basis. If blood pressure is normal you reduce the dosage. Avoid alcohol, processed, fatty,fast,sugary,street foods. Aloevera juice 10ml twice daily after food with water Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice daily.
Go for virechana karma visit near panchakarma center Start with Arogyavardhini vati 2BD A F Liv 52 2BD A F Liv tone syp. 20ml BD A F
You can start on Tab liv 52 DS 1-0-1 Tab triphala guggulu 1-0-1 Hingwastaka churna 1/2-0-1/2 tsp with warm water Avoid alcohol Restricted salt diet Regular walking Hydrate yourself
Hie marta …DNT be confused .iam working in patanjali hospital…you should take both medicine it’s designed for fatty liver and viral hepatitis…
Livogrit vital=2-2 tab before meal twice daily
Livamrit advance=2-2 tab after meal twice daily…
Divya lipidome 2-2 tab after meal twice daily (for elivated lipids)…
For flatunce add hingwastak churna=1/1 TSP AFTER MEAL TWICE DAILY WITH WATER
AVOID spicy/fatty/processed food
Do regular exercise and yoga
1.Hingwashtak churna 1 tsp twice daily with warm just before meals 2.Arjunarishta 20 ml with 20 ml water twice daily after meals 3.Guggulutikta ghrita 2 tab twice daily with water after meals 4.Cholest Guard 2 tab twice daily with water after meals
Diet & Lifestyle Tips - Avoid: Fried foods, refined carbs, excessive dairy, alcohol, and late-night eating. - Favor: Warm, cooked meals with turmeric, cumin, coriander, and garlic. - Hydration: Sip warm water with a pinch of dry ginger or fennel. - Exercise: Aim for 30 minutes of walking or yoga 5x/week. - Sleep: Maintain regular sleep hours; avoid screen exposure late at night.
Hello, Please visit nearby ayurveda doctor so that nadi pareeksha can be done and appropriate ayurveda based diagnosis of the issue can be done. Panchakarma will help you a lot. Any medicine works to its optimum when you take them after a panchakarma therapy which is very potent yet effective way to detox. Take care, Kind regards.
Improving a liver condition like steatohepatitis involves a multifaceted approach integrating dietary, lifestyle, and therapeutic interventions. Given your history and current situation, some modifications can potentially help. First, as you’ve already limited fats, continue focusing on a balanced diet that includes fresh vegetables, whole grains, and lean proteins. For digestion concerns, managing fibrous content might help. Cooked vegetables like zucchini or bottle gourd are easier to digest and will help avoid bloating.
Regarding Patanjali-Livogrit and Livamrit advance, these supplements can be supportive. If detoxification is prioritized at this stage, you might choose Livamrit initially. Use this for a month, monitor any digestive or liver related improvements, then transition to Livogrit vital. However, always consult a healthcare professional before starting any new supplements.
For cholesterol management, incorporating Divya Lipidom could be beneficial, but dietary changes should be primary. Specifically, incorporate foods high in omega-3 fatty acids, like flaxseeds or walnuts, which aid liver function and balance cholesterol levels. Reduce refined sugars and processed foods, as they contribute to fatty liver.
Alcohol consumption should remain minimal. Try limiting this to special occasions, as alcohol metabolism taxes the liver.
Incorporating regular, gentle exercise is crucial. Even brisk walking daily can enhance liver function and overall metabolism. Aim for 30 minutes most days of the week.
Silymarin, as you’ve mentioned, is beneficial for liver health. Continue this under your doctor’s guidance.
Monitor your digestion, hydration is key here. Warm water sipped throughout the day can support liver function and digestion. Consider Triphala at night to balance digestive fire without overwhelming your system.
Remember that your paracetamol history has likely contributed, so be cautious with any medications. Always talk to a professional for individualized advice based on continued assessments and symptoms. Regular check-ups to monitor liver function tests will provide insights into progress, enabling timely adjustments to your regimen.
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