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What are the causes of a fatty liver?

Q: I am 49 years old, and I am 5 feet 5 inches tall. I have been diagnosed with fatty lever recently. My total bilirubin level is 2.5. My weight has reduced from 68 kg to 62 kg within 6 months, when I was taking fruit juices during that period. I was not feeling any type of weakness. I consulted a doctor for weight loss. During the blood tests and liver scanning, it was found that I was suffering from fatty liver disease. I was advised to take normal diet without fried items. Since the past 4 months my weight has remained 62 kg. I have already finished two bottles of Liv-52 tablets, which I have stopped taking now. Recent blood test report showed that bilirubin levels are still the same. What diet and medicine should be taken to regain my weight?

A:Once fatty liver is diagnosed, it is important to know the various factors that could have lead to its development. Common associations of fatty liver include obesity, raised cholesterol and triglycerides, diabetes or impaired glucose tolerance, ingestion of certain drugs or toxins, alcohol, rapid weight loss, etc. The diagnosis is ascertained on ultrasound, and some patients may even need a liver biopsy. In the early stages serum bilirubin is normal. If the liver function test is deranged as in your case, then one should also investigate to look for viral hepatitis or other uncommon causes of hepatitis. If left untreated, then fatty liver can progress in some cases to more advanced stages of liver disease. Hence proper diagnosis and treatment should be taken under the guidance of a liver specialist.

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