Join us as for an educational program on fatty liver disease and nutrition presented by Dr. David E. Bernstein Gastroenterology specialist, Chief of Hepatology, Director, Sandra Atlas Bass Center for Liver Disease, Northwell Health
I was diagnosed with mild non-alcoholic fatty liver disease about 10 years ago at age 58 when I had an ultrasound due to some abdominal pain. I could not understand it because I have always maintained my weight, had a fairly health diet, exercise, don’t drink, etc.. my doctor told me not to worry about it, that it was a benign condition that would probably never bother me. It really bugged me though so after a couple of years I started googling and saw where one site said oral hormone replacement therapy can cause this. So I started using the bio identical creams instead and had another ultrasound two years later and no more fatty liver! That really is the only change I can think of that I made. Also, when the doctor in this video said a woman’s ALT should not be above 25 I looked up my old values. In Jan 2012 mine was 29 - in July of this year it is down to 16! Just wanted to give you ladies a heads-up on the oral HRT - not good for your liver!
Thank you! I’m the same as you (don’t fit into any of the categories that should have fatty liver). I take oral HRT - I will look into the topical hormones.
My experience is yesterday I went to chek up my stomach endoscopy and liver ultrasound and have small fatty liver and small cyst.i have problems acid reflux and that Couse fatty liver.dr said need more excersice and follow up.. woried too how to get better need to diet and exercise what about the cyst
@@sweetrosehoney1184 I don’t know about the cyst but fatty liver can also be caused by oral contraceptives. Lots of women are on them for years and have no idea they have fatty liver.
I’m not on anything, no hormones etc. I was on Copaxone for about a year but not since 2012. I don’t eat any sugar. I don’t eat anything that needs a label but my waist is where my concern is. I’m 62
Excellent presentation and information. I have dropped 20 pounds to 193 and will continue to the weight which I held 20 years ago or 180. The discovery of my NAFLD was a happy accident and it has caused me to lose the weight and eat less--both will likely improve my quality of life and longevity. Stay well.
I went for an office visit last week, and the doctor decided to do a physical. It was 2pm and sends me to the lab right in the same area. I told the doctor but I didn’t fast. He said it’s not necessary anymore. Sure enough, my a1c was up and liver enzymes were up twice, 70-80. I was pissed Then he sends me for an ultrasound for the liver. I didn’t get the report yet. I am currently doing low carb and walking. I had tests done 2 years ago for gallbladder. The liver and pancreas were good, HIDA test. I’m taking another blood test in the future with fasting and continue exercise and low carb. Pissed at this Doctor, and I just changed from another beauty!
You should fast real good a day ahead of ultrasound they can get a better reading I have non alcoholic fatty liver and found out I have a polyp on my gallbladder during my last ultrasound going to have quit carbos totally the carbs turn to sugar I did quit ketchup a couple years ago I know this helped big I hate my new diet but I have to live another ten years .
@Robp, why are you pissed the the doctor for finding elevated levels? A1C is an average blood sugar level over the past 3 months in the cells and isn't impacted by fasting or a bad meal the night before. If your A1C is elevated then over the last 3 months, your glucose has been elevated. No need to fast for a non fasting test. Maybe that's why your docotor ordered that Now maybe you could ve pissed if it was normal as A1C is more expensive than fasting glucose but given your elevated levels, you were likely to need this after an elevated fasting test.
@@seanet1310 yes, A1C is over past 3 months, but it’s fasting for the other tests. Besides, 3 months after,went back for more lab work, my numbers were all normal……….fasting, walking and cut out sugar, plus lost 15 lbs.
I did Weight Watchers for many years and kept a healthy weight from 1995 to 2005. In 2005 I got diabetes during pregnancy and after that have not been able to achieve a healthy weight again. I am also sedentary due to severe arthritis, but exercise regularly in a swimming pool and continue to eat what most people consider a healthy diet. I have avoided sugared sodas and juices since age 18 as well as baked goods. Irregardless, I have developed a fatty liver and developed type II diabetes in 2016. So I believe the Weight Watchers diet contributed to my fatty liver. Healthy fats like nuts and avocados were so strongly discouraged. I am looking forward to starting in a bariatric clinic at University of Washington in two weeks.
Have you looked at the low carb diet options that are used to treat diabetes and fatty liver before going down the route of surgery. There are several variations of low carb diets that offer different options. Such as lowering carbs but not completely giving them up or low carb as in very low levels such as from green veg and nuts. There are lots of great resources out there. Dr Mark Hyman has a chanel and is also part of the Cleveland Clinic that goes deep into the topic.
@@bighands69 Yes, I do not want the surgery. I have lost weight with a restricted carbs diet and kept it off, but did not lose enough weight. I went into ketosis so fast, I wanted more medical supervision. The clinic is giving me better guidelines and personalized recommendations. I do better with a more structured diet. I will look more into Dr. Hyman's and Cleveland Clinic's materials. Thanks
I'v been looking at my lab tests at the beginning of the video and found out I'm prediabetic while my pancreas physically hurts after hight caloric or sugary meal even after one doctor told me he saw worse tests and sent me away. Low sugary and not too high caloric meals for me is the key. I'm woman from Czech republic. Thank you.
@@omadoutlaw4868 what kind of fasting did you do, and what sort of evidence do you have, like blood tests or diagnoses, which indicate reversal of your liver disease? also, is fasting the only thing you changed at all? you never changed your diet or lifestyle behaviors? if you changed anything else, then there's absolutely no way to assume that fasting had any effect as opposed to any other change that was made.
@@omadoutlaw4868 even then, the results were looking at could just be spurious. that's why it's important that we look at hard outcome data and not just rely on anecdotes
Have you come across the channel of Ken Berry, MD? He has very good videos on fatty liver and prediabetes/insulin resistance. Avoiding sugar is a good start. If you're not satisfied with the results then eliminate grains and fruit juice. Most people can eat whole fruit in small amounts but best to avoid over indulging in that too. Finally, check out intermittent fasting. My ALT is currently 28 (truly normal for a male) but it was in the 50's 60's and 70's for multiple years. PS: you don't need a doctor to remedy your fatty liver. You can fix it yourself.
This was an excellent presentation, that can help so many people learning about and going through the understanding of NAFLD/NASH. Thank you so much for providing such valuable content.
I was recently diagnosed with Nash cirrhosis stage 3. Starting a Mediterranean diet, a little nervous. Hoping it can help slow down the progression of the disease
Thanks for an informaitve presentation one point, your recommendation under Macronutrient composition slide is low-to-moderate fat but under the same heading you suggest ketogenic diets which are 70-80% fat, so which is it?
Ketogenic is not an 70% fat diet. Not even close. Trying to eat 70% of your meals in fat would be very difficult to the point that the vast majority of peoples could not even attempt it. Now eating 70% of your foods that contain fat such as fish, eggs, nuts, avocados, beef and so on is not the same thing as those foods do not have a majority of fat. An egg for example has 9 grams of fat per 100 grams. An Avocado has 15 grams per 100 grams.
I lost 30 lbs. My fatty liver is gone but I still have some scarring. I am going to keep trying to lose a bit more and my diet is much better now. However, my doctors never say "that's good." Just lose more. I think they need to be more encouraging. The reason a lot of us aren't "thin" is because we have something inherently wrong with our livers (not all of us are diabetic). A kindly approach to people who actually achieve results might help.
It is theorised that many with fatty liver maybe suffering from insulin resistance in the actual liver it self. There maybe other reasons as well due to everybody having different issues.
This video should've the millions of views this other so called "Doctors" have on this topic, its crazy that anyone that is not a doctor can spew information when they never studied or had the specialization required to even mention the topic
If ALT and AST aren't elevated. Then we need to change the lab printout to now say over that levels above xyz, yet normal may be NAFLD. We do this for other result markers. Why not this? I was a diagnostic lab tech for 17 yrs.
Excellent presentation FINALLY! I have been researching this topic for over a year religiously, and just struggled with making sense of it to no avail. I was able to pull my blood work tests out and understand it now! What scares me though is when he said the results state that it is a normal level but it's NOT! I love this Doctor! Thank you!
I’ve started using castor oil packs over my liver as I sleep. The first night while I was waiting for my pack, I just put castor oil over the liver when I slept and I had a great bowl movement the next day. After I got my pack, l learned i could take one TBSP of castor oil by mouth with warm water and that made my bowels feel like they’re getting completely eliminated. I’m on Day three of that and the article I read said it would take three days to completely eliminate. One thing I’ve learned is the liver is responsible for good BM. I’ve always felt I was constipated and now I know that implies my liver has been stressed even when I wasn’t overweight.
And what about being slim , BMI is 21, yet having NASH.... I am not allowed to lose weight.. my doctor said i shoud lose weight but im not only liver. What would happen with other organs?? Bones for example. Im 54.
@@kurtcobain78 For most people fatty liver is totally reversible with dietary changes. If you're interested look up Dr. Ken Berry MD, here on RU-vid. The supplements you mentioned may help, but your money would be better spent on high quality foods.
After doing nutrient deficiency tests and trying out lots of different "ways of eating" such a whole30, paleo, autoimmune paleo, keto, DASH, vegan, etc., there is NOT ONE diet that provides ALL your nutrients. These are all N of 1 experiments that I highly encourage you to explore to see what works best for your individual biology. You can track everything using cronometer or other nutritional apps to see where you fall short. A high quality multivitamin is like an insurance policy. I find most people and foods are very deficient in minerals (micro/macro). NAC is a precursor to glutathione which is your body's master antioxidant. NAC has to be converted to glutathione and then recycled or excreted depending upon a lot of factors in your body. Your liver conjugates fat soluble toxins (phase 1) into water soluble (phase 2) and genetics can play a large role in how your process (fast, intermediate, slow). I personally take r-lipoic, sulphorophane, and milk thistle and b's, and fish oil. I will do nutrient deficiency tests annually with my doctor to check status. Think of it like a tuneup for your car. You take your car in to have oil changes, etc. Well, nutrition is the gas in your car. If you are deficient in certain nutrients, your body can't perform all the functions it needs to perform. Your body gives you whispers. It's our job to listen and try to decipher. Your body works so hard for you and if you continue to treat it poorly, then it will figure out ways to keep going until it just can't. That is when dis-ease happens.
@@ParadymShiftVegan Yes, because studies show nutrients like Choline help to cure fatty liver, so high quality eggs, liver, and other good foods will absolutely help
@@missthunderstormable I just started with low carb, 20 carbs out less each day. My carbs were kale, collard greens and asparagus. When I hit a plateau, I waited a month and then did twenty carbs out less three times a week. Next plateau, I dog twenty carbs or less once every two weeks and last every three weeks. Even though my ALT is lower, I still have a fatty liver with F2 and F3 fibrosis
@@hairway2heavensalon541 What is your current weight and height if you do not mind me asking. People can see good results from their liver but still have a way to go in terms of getting the body right. Building muscle mass does help with the body's overall ability to deal with fat that is stored internally.
I have started two miles a day on the treadmill thinking the exercise there will help release fat in my liver. Where I was eating high fat with low carb, I’ve switched to low fat with moderate carbs from green vegetables, carrots, kidney beans along with more plant based and WFPB with some meat sporadically. I’m not vegan or carnivore Since 2019, I’ve lost one hundred pounds and kept it off
At 34:30 you talk at great lengths about the dangers of fructose and you recommend people to check labels and avoid foods containing fructose. This is great. Your slide clearly shows that sugar (i.e. sucrose) is a disaccharide consisting of glucose & fructose and this is also very good information. Unfortunately, you then go on to talk about sugar and fructose as if they are two different things. Practically speaking, they are not. I think that the vast majority of people watching your presentation will come away thinking that fructose is bad but that sugar might not be so bad, when in fact every food with sugar (sucrose) in it also contains fructose. I like your message, but I think you really should drive home the message that avoiding fructose requires avoiding sugar and that most processed foods contain sugar. Most people are blissfully unaware of how much sugar is contained in processed foods, including things like salad dressings, ketchup, etc.
Table Sugar is half glucose and half fructose. Fructose is the sweet part. Potatoes and breadare full of glucose, but a study I have heard about showed that if they cut all the fructose from the diet could reduce the fat in the liver.
Fruits, such as bananas, are full of sugar in the form of fructose, but, what I want to see is hard outcome data indicating that fruit consumption has ever been implicated as casually inferred to cause clinically significant adverse outcomes with respect to NAFLD patients.
Pretty sure high levels of ammonia is indicative to f cirrhosis….need to cut out alcohol completely and lose weight. Do the Mediterranean diet as he talked about in the video.
27:07 Is this actually from weight loss or is it because bariatric surgery forces the body into a fast, drastically reduces dietary carbohydrate intake, affects insulin levels, etc; all results that can be accomplished by diet alone. It's important to find the BEST solution with the fewest negative consequences imo. Removing the stomach from the body is an irreversible surgical procedure with permanent physical consequences and drastic long term side effects. I sometimes wonder if bariatric surgery is the new hysterectomy. It's interesting too that bariatric surgeons put their patients on a keto diet two weeks before surgery to shrink the liver, and if the surgery eventually fails puts them on a low carb diet for life. So some of them end up with a keto or low carb diet without the benefits of a stomach... There's lots of anecdotal evidence that intermittent fasting and zero processed carbs has been very successful to reduce inflammation and halt the progress of liver disease as well as fat loss. Yes, we need more studies but in the meantime I think the rush to slice and dice is problematic, for it's irreversibility if nothing else.
What people need to keep in mind that poor diet and health issues are in part do to living in more urban and poverty-stricken areas and the only have limited options other wise known as FOOD DESERTS 💯%
I was told I have “minimal fatty liver” which is most likely from beer. I plan to cut back. I’m 26. How long does it take to progress (if) it even does?
Conscious Philosophy.....My Hepatologist told me it could take up to 10 years to progress to NASH (Non-Alcoholic Steato Hepatitis) which is the next step before Cirrhosis and the final stage is HCC (Hepato Cellullar Carcinoma). Have you had a test called "Fibroscan" which is a specialized Ultrasound of the liver that measures your Fat and Fibrosis content? It's a very quick and painless test and should be part of the initial diagnosis work-up for anybody diagnosed with NAFLD.
@@karimaogden3875 I’m not sure, they never checked that. I just turned 26 and I’m a big drinker - have been since high school. From what I’ve read, nearly every drinker has fatty liver. They didn’t seem very concerned. I only was told I had it because I gratuitously went and got a fibroscan due to anxiety. Aside from that, my blood work is always great.
Hi! You might find this webinar we did with the American Diabetes Association helpful: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zwCqcGnmsws.html
At 24:40 you enter some patient data into the NAFLD Fibrosis Score calculator. I'm wondering about the number you entered for Albumin. According to the calculator the units should be grams per liter (g/l), but I suspect the number you entered had units of grams per deciliter. I say this because I'm looking at a lab report from Quest Diagnostics and they report Albumin as grams per deciliter (g/dL). A value of 3.5 g/L would have been way out of range, and clearly not normal. If you enter this guy's data into the calculator but use 35 g/L as the Albumin value, you get back 0.144 as his score, which is indeterminate.
Hi Dr my husband is suffering from jaundice and he has fatty liver and stomach alcer .. Dr said he is in critical condition ... I don't know who to handle it ... plz guide me ..
Hi, please call our Helpline at 1-800-465-4837 from 9am-7pm ET, Monday-Friday. Or you can use our chat feature by going to www.liverfoundation.org and clicking on the red tab on the bottom of the page. Leave your comment or question and our knowledgeable staff will get back with you as soon as possible!
Has he tried milk thistle with the dandelion root also vitamin E, D, & C...Especially the milk thistle has proven to reverse fatty liver due to cirrhosis also the Mediterranean diet is proven to reverse this condition as well I would do all of those things as soon as possible
I've been sent to the #3 hospital in the United States , diagnosed with stage 4 cirrhosis and have had a year of tests, ablation with no information like this video!!! Just lose weight and get exercise. No medication and you will never get a transplant. So I was terrified of every bite of food that I put in my mouth. I was not provided a nutritionist. Unbelievable
Why would you recommend high carbs, (sugar) to someone with a fatty liver? Most people with nafld are at some stage of diabedes, and telling them to consume high carbs, which raises their glycemic index, and blood sugar, is malicious, and malpractice.
How much does radiation to pelvic for Endometrial cancer effect liver. My blood test showed high inflammation but no Fr. Raised alarm..until this GI Dr. 3 years later. Radiation
i have a weird symptom but was told by a guy who has had diabetes for a long time that it is one of the main symptoms but because its abit embarrassing no one tends to mention it, so here goes..basically the guy with diabetes said the end of his penis was always very red and i have the same symptom,however when i give up sugar completely it tends to go away but having eaten alot of sugary sweets in the past then it doesnt take much to bring the symptom back..i recently ate a whole carrot cake 120gms of sugar and within a day the redness was back..so just wondered if any other men have had this problem?
I would suggest seeing a doctor in regards to the itching just encase you need some sort of treatment or have an infection. Your higher carb movement may just be inflaming it rather than being the cause. Do not be embarrassed about this issue as doctors have heard it all before.
My bmi is 16.6. I am non-diabetic and don't drink at all. I had a routine ct scan and said I have mild fatty liver. What should I do? I need to GAIN weight!
I would suggest you find a liver specialist that also practices integrated medicine or functional medicine. There are practices out there that can do this for you. It is best that you try and get a full health screening to look at your hormone levels, thyroid and to see if you are diabetic through such things as insulin resistance. Also try and look at what your daily calories are but do not do anything drastic until have sought medical advice. You may need to increase muscle mass or a host of other things but at this stage seek the advice to guide you through the process. Good luck.
I'm insulin resistant, pre diabetic and over weight I eat badly and I drink so it's no surprise I got a fatty liver and I did it to myself. So I quit drinking it's been a year and a half no alcohol my liver levels got better but I need to lose weight so my dr. Put me on ozempic I've lost 23 pounds in 6 weeks trust me guys I could never have lost that much on my own..but there is always a catch it's expensive and bad side effects. My hubby is on ozempic and he lost 26 pounds in 6 weeks and he had no side effects I feel like I can start to exercise because losing 23 pds helps the body move better I'm also 66 years old. Good luck everybody we don't want cirrhosis..
@@jayndough68 constipation I tried every stool softner, prune juice, Metamucil, I ate alot of beans nothing worked except a big bowl of frosted mini wheats everyday. I had alot of nausea so I take Zofran I wouldn't have made it without it. I had to eat frequent small meals or snacks. You can navigate through the side effects it's worth everything I'm going through..Good luck.
@@debbieschultz106 In terms of your constipation have you discussed it with your doctor to get it checked. You mentioned prune juice but have you been eating prunes whole? Just to give you have idea of exercise you could be doing as a routine walking, sit down training with weights to build strength and an exercise bike for short little routines. The key to exercise is to make progress when you are starting out not to actually make your self sore or push too hard. Yoga can help as well but you do not need to be doing the super complex stuff just simple standing exercises for short periods of time. Tai Chi can also help with your standing form as well.
Around the 24min mark there are tools that take platelets and help calculate the likely presence of F3/4 Fibrosis. What is the relationship between platelet count and fibrosis and does anyone know how that applies to normally high or low platelet count people?
it is a statistical model and not really a diagnostic tool. It really should be used to show if you are on the right pathway. You can have platelet loss or gain for a multitude of reasons. Anemia or liver disease can cause a loss of platelets. Too many platelets can be a sign of other conditions such as liver inflammation.
What exactly makes a killer, "silent?" I thought "America's Silent Killer" was the slang for hypertension, given that most people don't notice that their blood pressure is higher than it ought be for reasonably positive health outcomes.
@@ParadymShiftVegan I only found mine because I received an ultrasound for a different reason. Usually you don’t know they’re is any issue until it’s too late and you need a liver transplant which list is long so yeah definitely the ultimate silent killer more than any other. You will never know cause even blood levels don’t ever say anything is wrong but inside your liver is turning to stone. Any amount of sugar or carbs or high sat fats and calories are the most specific things to avoid in your diet. The diet as to what you eat to reverse it if you catch it in time is very strict and specific. Nothing to do with healthy foods and exercise. It’s a tough ordeal for sure
@@icediamonds11 I’m not sure if you’re a vegetable fan but vegetables tend to be the best thing for fatty liver specifically cruciferous vegetables. Eat as clean as possible. Don’t have to be expensive just clean. Like instead of a can of corn eat an actual corn or instead of orange juice eat an orange. Stay farrrr away from red meat! Stick to chicken (obviously not fried). Stay away from carbs! You can have up to 15g of carbs if it’s a snack or 30g if carb
Fruits and veggies (raw) are the main sources of vitamins, minerals, antioxidants. The NATURAL sugar one gets form them is outweighed by the nutrients they provide. I would be concerned about the fructose from the prevalent high fructose corn syrup.
@@jsmith5764 I ate blueberries in January February March of this year and my belly gained and inch of fat. I only ate the Wymans Wild blueberries which are smaller berries so there is more polyphenols in them.
@@hairway2heavensalon541 Blueberries are higher in carbs than strawberries or raspberries. When you eat them do you measure them such as in a handful when doing so. I find handfuls are a good way of keeping them in moderation rather than just tipping the bag up. I use smaller palm of the hand as a measure handful not a big overflowing handful that you cannot manage to walk with.
@@bighands69 I didn’t measure, not good at that. If by a 15 ounce bag and eat the whole bag in one sitting, which is why I don’t buy them more than once a month. If I buy a three pound bag, I can get that to last three days so I’m not a good moderator
Thank you #drohanon for your kindness towards humanity am very grateful that i was able to get rid of my fatty liver disease problem with the help of your supplement i really appreciate your kindness.🤟🤟
This doctor is promoting a low fat, high carbohydrate diet, which is quite peculiar since I have watched 800 youtube videos in the last year. 35% of those videos were related to nutrition. In 98% of those videos it was recommended to eat a diet containing more fat and Far less sugar and far less highly refined carbohydrates- almost opposite what this doctor says. The doctors I watched all had years of experience working with patients and most of them had done extensive research on nutrition. There is something strange indeed going on here.
@@MrShinobinu He makes two suggestions--A moderate to high carbo diet, then he next lists a low carbo diet keto diet. A direct contradiction. Furthermore, he is not clear with that obvious contradiction. He never makes a distinction between carbohydrate and highly refined carbohydrate--the killer food in our society. He really should do that.
What an amazing video by you Sir. My aunt's fatty liver condition was getting from bad to worse last to last year. She was taking allopathic treatment from last 3 years. But last year luckily she got liver care pack by Planet Ayurveda, now after 4 months of using the pack her liver reports were showing good improvements & there is also +ve results in her digestion.
If you are eating saturated fats such as in meat you should have a large plate of greens as well. Also for every meal you eat in saturated fats you should also be eating 3 to 4 meals of unsaturated fat foods such as fish. People have seemed to have gone from one extreme to the other from no saturated fats and high carbs to very high levels of saturated fats.
I have read several different studies that say you can live up to 15 years with Nash or longer but if it develops into cirrhosis in more serious things it can be a lot less at but you can reverse the fatty liver and Nash with the Mediterranean diet and intermediate fasting and also try milk thistle with dandelion root, Also eating lots and lots and lots of green vegetables with the dark 🥬 tons of them and try juicing with these vegetables as well that’s what I’m doing now
@@icediamonds11 yes As far as the gallbladder symptoms I am but I have recently been diagnosed with breast cancer so I’m super scared and having to have a double mastectomy soon
Extra-virgin olive oil is actually proven to help heal the liver so you can actually use that when you’re cooking in the Mediterranean diet which is the best diet for the lever
really? "Only just learning". Why cant medical folks accept and explore the role of eating a proper human diet? Why is the answer always pills and surgery?
Jada never said she and Tupsc were soul mate. They never dated. Jada is in fact Will's neighbor. She brought a whole ass house. Eighty five percent of the book is about her mental health and spirituality. All these comments from prople who have never read her book. If you don't like black women just say that.
😂😢😂TELL THAT TO MILLIONS OF ANOREXIC PATIENTS WHO SUFFER FROM FATTY LIVER DISEASE AMONG OTHER THINGS WHO COINCIDENTALLY ARE ALSO AS ANOREXICS DENIED ANY MEDICAL HELP OTHER THEN END OF LIFE CARE WHEN ITS TIME 😢😂😢
