What To Do After a Fatty Liver (MASLD) Diagnosis

Simple Guide from someone who has gone through it.

1. Understand the Diagnosis

• New name: MASLD = Metabolic dysfunction-associated steatotic liver disease.

• What it means: You have fat in your liver. It’s common and often reversible.

• Ask your doctor:

  • How much fat is in my liver?

  • Do I have inflammation or scarring (fibrosis)?

  • Do I need more tests (like a FibroScan or MRI)?

2. Change Your Diet

• Eat more: Veggies, fruits, beans, whole grains, fish, lean meats, olive oil.

• Eat less: Sugar, soda, white bread, fast food, alcohol.

• Try the Mediterranean diet — it's great for liver and heart health.

3. Start Moving

• Goal: Walk or move 30 minutes a day.

• Start small — even 10 minutes at a time helps.

• Add strength training twice a week if you can.

4. Lose a Little Weight (If Overweight)

• Even 5–10% weight loss can reduce liver fat.

• No crash diets. Go slow and steady.

5. Track These Numbers

Ask your doctor to monitor:

• ALT / AST (liver enzymes)

• Blood sugar / A1c

• Cholesterol and triglycerides

• Blood pressure

• Weight and waist size

6. Ask About Other Health Conditions

• Do I have prediabetes or diabetes?

• High cholesterol or high blood pressure?

• Sleep apnea? PCOS?
  Treating these helps your liver too.

7. Consider These Add-ons (Ask First)

• Black coffee (3–4 cups a day may help the liver)

• Vitamin E (if no diabetes — check with your doctor)

• Omega-3s or fiber supplements (if diet lacks it)

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8. Lower Stress and Sleep Well

• Chronic stress and poor sleep can worsen liver health.

• Aim for 7–8 hours of sleep.

• Try deep breathing, meditation, or walking outdoors.

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9. Follow Up

• Check in every 3–6 months with your doctor.

• Ask: Is my liver improving?

• Get repeat blood tests or scans if needed.

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