Daily Freeman (Kingston, NY)

Eat fewer carbs to combat fatty liver disease

- Robert Ashley

I was recently diagnosed with fatty liver. I researched it a bit, and learned that people with this condition can have a pregnant-looking stomach. Although I’ve been considered slim my whole life, for the last eight or nine years I’ve looked about six months pregnant. Please tell me how I can reverse this and quit wearing maternity clothes.

Fatty liver, officially called hepatic steatosis, is the most common liver disorder in Western industrial­ized countries, with rates increasing over the last 40 years in step with the rates of obesity. In fact, a 2004 population-based study that imaged the livers of 2,287 people in Dallas, Texas, found fatty liver in 34 percent of the population.

So obviously, you’re not alone. The issue you’re having with fatty liver is shared by a large percentage of Americans. To understand how this happened, and why the rates of diabetes, obesity and fatty liver have increased over the last 40 years, just visit a supermarke­t. There you’ll find aisle after aisle of high-carbohydra­te, high-sugar processed foods.

High-sugar foods such as cookies, candies, cakes, ice cream, sodas and juices raise both insulin and triglyceri­de levels. So do highly refined carbohydra­tes such as crackers, potato chips, low-fiber breads, rice and pasta. Processed foods often contain large amounts of both sugar and refined carbohydra­tes. All these foods are easily converted to fat in the body, and when there’s too much fat, it starts to build up in the liver. That can cause an inflammato­ry reaction that leads to scarring.

Most people have no symptoms of fatty liver; only rarely do patients have related fatigue or stomach fullness. Your doctor may want to investigat­e whether the weight gain in your abdomen is not simply related to increased fat distributi­on in that area of your body.

You can try to reverse the condition by reducing the amount of sugars and carbohydra­tes you consume.

A review of four studies published last year in the Journal of Research in Medical Sciences found that reducing the amount of dietary carbohydra­tes to 50 percent or less of total calorie intake successful­ly led to a decrease in liver fat content. In other words, the type of calories — not just total calories — that you consume matters.

To change your diet, start with sugar. By that I mean eliminate highsugar foods from your diet — completely. That means no dessert, no sodas, no juices. High-sugar foods are pervasive within our society, and it takes a daily determinat­ion to not consume them, especially when they are a normal portion of our American diet. Further, high-sugar foods are both addictive to the brain and the body. But hang in there: Those addictive effects recede within just a few days of stopping sugar.

Also, reduce carbohydra­tes that are low in fiber. They can create many of the same problems found with highsugar foods.

And last but not least, start an exercise regimen — or ramp up the one you have. It will help you work off extra calories, while also helping you control your body’s ability to control glucose levels.

By lowering your intake of sugar and carbohydra­tes and by increasing your amount of exercise, you’ll not only decrease the fat deposits in your liver, but also your risk of diabetes and the size of your midsection. CRYPTOQUOT­E

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