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.


Doctors’ responses
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
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
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

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