How To Treat Mild Fatty Liver Disease

Fatty liver disease can often be managed effectively through lifestyle changes, especially in mild cases. When a CT scan shows a liver-to-spleen ratio between 0.7 and 1.0, it may indicate either simple fatty liver or mild non-alcoholic fatty liver disease (NAFLD). In cases of simple fatty liver, blood tests usually remain normal and patients often experience no symptoms. However, in mild fatty liver disease with inflammation, certain liver enzymes such as ALT, AST, GGT, and ALP may be slightly elevated.

Weight management plays a critical role in treating fatty liver conditions. The primary treatment involves dietary modification, portion control, and regular physical activity to achieve a healthy weight. A diet low in sugar and fat, rich in fiber, and with a daily caloric reduction of 500–1000 kcal is generally recommended. This approach helps reduce fat accumulation in the liver and improves overall metabolic health.

Exercise is a key component of any treatment plan for fatty liver disease. Experts suggest engaging in at least 30 minutes of moderate-intensity aerobic activity five or more days per week. Adding resistance or strength training exercises can further enhance metabolic benefits and support long-term weight control.

Achieving a 5% to 10% reduction in body weight over one year can significantly improve liver health. This level of weight loss can help reverse metabolic syndrome and reduce liver fat. Maintaining a 10% weight loss for more than a year may lead to normalization of liver enzyme levels and resolution of inflammation associated with fatty liver disease.

For individuals with alcohol-related fatty liver disease, stopping alcohol consumption is essential. Abstaining from alcohol can halt disease progression and allow the liver to heal. Combining this with healthy lifestyle habits offers the best chance for long-term recovery and liver function improvement.