Study about high fat diet and nonalcoholic fatty liver disease

(Consensus is Politics) #10

I might be too cynical, but if they gave you all the information how could they later treat your diabetes? Big pharma has way too much influence in what doctors do. Incentives to write scripts that aren’t necessary. But how to prove it? Who’s most likely to be believed? A doctor with more doctors backing him up? Or me, with what sounds like conspiracy theory.:face_with_raised_eyebrow:

#11

Hey @Robert_Johnson your “conspiracy theory” of pharma malfeasance has much more proof than their vaunted BS lipid theory.

(Brian) #12

Studies like this can be very misleading.

This give the idea that fats are evil. They’re not.

If you want to eat a diet high in fats and be healthy, the carbs and sugars have to go. That’s what the LCHF thing is about. And it’s healthy for a lot of people. What’s NOT healthy is if they eat the large quantities of fat AND continue to eat the carbs and sugar. That’s the typical American diet and a recipe for disaster.

Unfortunately, when these types of studies get published, they seldom do them in any context other than the standard American diet… which is high carb. The keto group is in an entirely different context and in this group, high fats (at least of good quality), are a good thing.

Don’t be afraid of going keto. Just if you’re gonna do it, do it all the way, not half way.

:slight_smile:

#13

Hi Carol, Can you pls share?.. Had you been diagnosed with a fatty liver (non alcohol)? I ask because I was just diagnosed with this two days ago. Yet three weeks ago I began Keto and now my Dr says I must go onto a low fat diet for my liver. I also heard a fatty liver cannot properly process fats. Clearly I do not want to do any further damage and want to turn this around. So now I’m looking for wise guidance. Thank you!

(Carol O'Carroll) #14

I’m reasonably sure it fixed me.
But, here are some studies that have looked at it more closely.

http://www.cell.com/cell-metabolism/fulltext/S1550-4131(18)30054-8

(Carol O'Carroll) #15

Yes, I had been diagnosed with NAFLD. Yes, the fatty liver has a harder time doing anything, but it takes very little time on low carb to turn that around. Can you talk to another doctor? Or show your doc some of the research I’ve posted?

(Carol O'Carroll) #16
(Don) #17

I was diagnosed with NAFL back in October. My liver was so inflamed it was actually causing pressure under my right lower rib cage and making everything itch if you can imagine that. Had an ultrasound and let’s just say that my liver was huge. I started keto in January and just last week I realized my discomfort (if you can call it that) was completely gone. I go back to the doctor at the beginning of April and we will check blood work to include liver enzymes. But I expect everything will at the very least be trending better if not completely well.

Low sugar/carb diets cure NAFL disease not low fat. If your doctor doesn’t understand that…get a different doctor. It’s fairly simple biology. And this is coming from a guy that didn’t do well in biology in college. Hope you find a treatment that can help you out.

#18

Thanks Don, Looking forward to hearing your results in April and hope they’re excellent! I fully agree that a restricted low carb diet benefits the liver. However, adding high-fat to a fatty liver diet is a different matter. I’ve yet to read evidence showing the such comparatively favorable benefits of high-fat for the liver. I am trying to get clear on this aspect and am quite sincere in saying I welcome & appreciate literature on high fat and it’s benefits to the liver. Cheers.

(Rob) #19

People are obviously reversing their NAFLD on keto. For those doing keto, it is an inevitability that they have a high fat diet since it is the only sensible way to achieve the requisite energy to live when you’ve slashed your carb intake. Protein cannot healthily take up the slack so there no other choices. Everyday people prove that HF is not deleterious to their health and improves CV conditions, cancer, kidney disease, etc. If you are still caught up on the HF component then you probably aren’t ready for keto so check out other approaches to NAFLD.

You are SOL if you want to wait for someone to fund a decent LCHF RCT for NAFLD. Based on the obvious success of people doing LCHF either do it or don’t but don’t expect get a nice cozy NIH pat on the back to proceed. There are probably other people who have solutions. You could massively calorie restrict and never make up the lost energy and maybe fix your liver but would cause all kinds of other long-term problems (reduced BMR, stress on multiple organs etc.). You could try keto light/paleo, go vegan and see what happens.

(Jeannie Oliver) #20

Yato, you may not need another reference after all the good ones others have posted here, but this opened my eyes, from Dr. Jason Fung’s blog on IDMprogram.com.

https://idmprogram.com/fatty-liver-t2d-25/

I am doing keto primarily to heal my NAFLD. The other benefits–slimmer body, better skin, more energy, and so on–are a bonus.

#21

Thank you Carol!

(Bunny) #22

…bad predetermined variables to do a study (place in recycle bin).

Note: If you were to add choline supplementation to the study subjects diet there would have been no “fatty liver.”

“…People with a condition of the liver called “fatty liver” are at a higher risk for having choline deficiency and experiencing negative symptoms. Fatty liver, also known as fatty liver disease (FLD), is a reversible condition where triglyceride fat accumulates in liver cells. It commonly develops with people who have an excessive alcohol intake, are obese, suffer with diabetes or a form of insulin resistance, and have other diseases that influence fat metabolism. …” “…This is most likely due to genetic factors in certain people that create a higher need for choline. For example, according to researchers, 50 percent of the population may have genes that increase dietary methyl requirements, and since choline is a major source of methyl processes, this can result in a choline deficiency. …” …More

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(Carol O'Carroll) #23

Also

(mark whittaker) #24

I just wanted to share this. Dr berg who I think is a trustworthy advocate of the ketogenic diet says that keto does cause fatty liver. I saw this thismorning and it scared me. I think I need to make sure I nderstand this before I go too far. I am on week 9 and 25 lbs down but hopefully im not destroying my liver in the process. I am not eating very many veggies. and the ones I do eat are mostly just letuce.

#25

I think Berg is a pretty good guy overall - but this is interesting, and I think this time - its a bit misleading (well a least the title is misleading). He’s sort of right and more wrong. First, this is one line out of a text book - without the text/book citing its reference source to make that statement. Nor does it say to what extent that is “causes” fatty liver (which there is lots of evidence out there to say it clearly does not). What is sort of right - that yes, a carbs from refined foods (e.g. the piece of bread in his carb scenerio) with refined foods being the major stressor for the liver probably of the fructose overload, His other two examples were fruit - which may have eluded to the frustose. He is a huge proponant of lots and lots of leafy vegs etc, and that is probably was the point he wanted to make. However I’m sure there are folks here that would argue that “unlimited” vegs for some or the 50 gm carb limit may not be the best suggestion (myself included). Read up this page and the various links re: fatty liver - that are well researched.
And for what its worth - your liver is probably fine - but it’s ok to review the veggies and analyze for the best nutrient dense ones.

(Mandy) #26

I’d really love to see some keto oldies chime in. I’m only 3 weeks into keto but I have wondered about NAFL and the keto diet. I’ve used Dr. Berg as a reference for several keto questions I had. Not sure why but this alarms me. Maybe I am misunderstanding what he is saying but why would he promote keto if he believed it caused NAFL? Maybe he is just saying, dont forget the greens!

#27

I hear you - and with a less than 3min video, I think he should have eleborated more regardless of what point he was trying to make. Don’t know what you consider an “oldie” but I’ve been on keto since August 2017 with no negative effects. Nor do I think more vegs are going to be a problem per se - will depend upon how you tolerate carbs - and what your goal is. It may translate to slower weight loss (if weight loss is the objective) and if that works for you - then that’s what works for you.

(Mandy) #28

I’d consider you a keto oldie… Lol. Good or bad, I do include greens into my eating. For me, I think it would be hard to cut totally. I find a little salad breaks up the plate of meat and cheese. Too early to tell I think, if it will hinder my weight loss goals. Hasn’t kept me out of ketosis but I suppose we will see in the long run.

(mark whittaker) #29

He has actually created lots of videos on the subject. I have seen others from credible people too.

https://www.youtube.com/results?search_query=dr+berg+fatty+liver