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This frankly scares me somewhat. I had a liver ultrasound where the radiologist warned me I had some signs of fat on the liver though not extensive yet. I weig

This frankly scares me somewhat. I had a liver ultrasound where the radiologist warned me I had some signs of fat on the liver though not extensive yet. I weigh 72kg at 178cm height. At peak, when I got tested I weighed around 86kg. I was barely overweight and definitely not obese and yet...

ABS 1y ago
Knowing the weight alone is not enough though: you can be 72kg and fat or 86kg and very lean but also very muscular. E.g. I'm 178cm as well but when I was 71kg I was visibly "fat", or at least skinny fat to be charitable. I'm currently 67kg but very lean and somewhat muscular.
- abraxas 1y ago
  At 86kg I had a bit of dad bod going on. Not a huge gut but somewhat pudgy here and there. Not hugely so and not overly visible as most of it was visceral fat. I haven't had an ultrasound since losing the weight. I hope the liver looks better now. I've been eating fewer calories, healthier calories and swimming. Hopefully that's enough to at least halt the damage done by my old lifestyle.
prettyblocks 1y ago
I had moderate NFLD and managed to get rid of it completely by just eliminating fried food, most dairy, and sugary snacks for about 6 months, I also almost never eat red meat. It's not so much about being overweight, but what you're eating.
- SketchySeaBeast 1y ago
  You totally changed your diet and didn't lose weight?
  - prettyblocks 1y ago
    I did lose weight, but it wasn't crazy dramatic.
- SlowTao 1y ago
  Yep, the dietary recommendations have been consistent for decades at this point. Dairy, meat, sugars and excessive oils are not great for us. A little in moderation is fine, that is a lot lower than what most people think. But it isnt pushed hard because it is difficult to steer the ship of humanity. Like how doctors will say "lose some weight" but they arent really expecting miracles on it as they know the battle that is.
  - bigbuppo 1y ago
    Not to mention, there's a good chance that your doctor is fatter than you are.
  - Amezarak 1y ago
    I eat enormous amounts of dairy and red meat and recently I had abdominal surgery and the doctor afterwards confirmed I was in very good shape and had no signs at all of fatty liver and very little visceral fat generally. I eat around a pound of beef a day, a gallon of yogurt a week, and almost everything (eg oatmeal) is made with copious amounts of butter. I think unless you know something specific about your genetics, just eat plain natural foods people have been eating for millennia and you will be perfectly fine. Basically, buy plain meat, vegetables, grains, and dairy and prepare them yourself. Don’t eat preservatives, corn syrups, or novel vegetable oils like canola. Maybe they’re fine but there’s no reason to risk it. Also do your best to make sure what you eat followed the same rule; eg my beef was grass fed and finished and was not fed skittles in a feedlot. Diet affects animal meat as well, just as it does us.
    - SlowTao 1y ago
      This is good advise to get behind. I do feel like a lot of the optimal dietary advice is far to hard lined and that a better path really is just whole foods in moderation.
  - nradov 1y ago
    Dietary recommendations have fluctuated widely for decades, and still differ substantially between sources. So far there is zero direct evidence that meat consumption causes fatty liver disease; I mean it's possible but we just don't know one way or the other. The only real data we have comes from low-quality observational studies (basically junk science). If someone wants to try limiting meat consumption as an "n=1" experiment to see how it affects their body composition and other biomarkers then go ahead. Just don't expect a major impact from that one factor.
tryasimight 1y ago
The two big ones are high fructose corn syrup and alcohol. I feel the hfcs is the bigger issue here because it is put in everything in the US, but moderating both of these will help. Look at labels and put back anything with hfcs. https://www.nih.gov/news-events/nih-research-matters/how-high-fructose-intake-may-trigger-fatty-liver-disease https://www.nih.gov/news-events/nih-research-matters/how-hig... https://pmc.ncbi.nlm.nih.gov/articles/PMC6549781/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6549781/
- crazygringo 1y ago
  HFCS isn't any meaningfully different from sugar. It's basically chemically the same as honey. And no, they don't put it in everything. It's in soda and certain sweets (obviously) and sweet sauces, but it's not like it's creeping into unexpected places in some huge way. Yes, there may be foods with a hint of sweetness that have a hint of HFCS, but then it's a negligible amount anyways. HFCS isn't some kind of bogeyman. It's essentially just sugar. Treat it accordingly.
  - deleted 1y ago
    [deleted]
  - chris_va 1y ago
    Fructose is processed by the body quite differently than sucrose, in a way quite relevant here. And actually one of humanity's major evolutionary advances.
    - eurleif 1y ago
      HFCS is typically 42:58 or 55:45 fructose:glucose. Table sugar is 50:50. HFCS is only "high fructose" relative to unprocessed corn syrup, not relative to table sugar and other common sweeteners.
      - Tallain 1y ago
        A small difference at small levels but one which obviously matters when it's shoved into countless foods without most people event realizing. It's not just in soda and candy; it's in bread, pasta, almost any processed food (crackers, ketchups and other sauces, canned fruit, applesauce, lunch meat, peanut butter, the list goes on) and many foods one might not considered processed. It makes sense to try to eliminate it even though it's "only" a small difference. Might as well remove the difference at all and look out for things with no HFCS shoved in it for no reason.
wokkel 1y ago
Bmi is one metric but you need to combine it with a measurement of your belly circumference. I had similar numbers but the weight was al in the belly and got diagnoses as type 2 diabetic with high cholesterol etc.

ABS 1y ago

Knowing the weight alone is not enough though: you can be 72kg and fat or 86kg and very lean but also very muscular. E.g. I'm 178cm as well but when I was 71kg I was visibly "fat", or at least skinny fat to be charitable. I'm currently 67kg but very lean and somewhat muscular.

abraxas 1y ago
At 86kg I had a bit of dad bod going on. Not a huge gut but somewhat pudgy here and there. Not hugely so and not overly visible as most of it was visceral fat. I haven't had an ultrasound since losing the weight. I hope the liver looks better now. I've been eating fewer calories, healthier calories and swimming. Hopefully that's enough to at least halt the damage done by my old lifestyle.

prettyblocks 1y ago

I had moderate NFLD and managed to get rid of it completely by just eliminating fried food, most dairy, and sugary snacks for about 6 months, I also almost never eat red meat. It's not so much about being overweight, but what you're eating.

SketchySeaBeast 1y ago
You totally changed your diet and didn't lose weight?
- prettyblocks 1y ago
  I did lose weight, but it wasn't crazy dramatic.
SlowTao 1y ago
Yep, the dietary recommendations have been consistent for decades at this point. Dairy, meat, sugars and excessive oils are not great for us. A little in moderation is fine, that is a lot lower than what most people think. But it isnt pushed hard because it is difficult to steer the ship of humanity. Like how doctors will say "lose some weight" but they arent really expecting miracles on it as they know the battle that is.
- bigbuppo 1y ago
  Not to mention, there's a good chance that your doctor is fatter than you are.
- Amezarak 1y ago
  I eat enormous amounts of dairy and red meat and recently I had abdominal surgery and the doctor afterwards confirmed I was in very good shape and had no signs at all of fatty liver and very little visceral fat generally. I eat around a pound of beef a day, a gallon of yogurt a week, and almost everything (eg oatmeal) is made with copious amounts of butter. I think unless you know something specific about your genetics, just eat plain natural foods people have been eating for millennia and you will be perfectly fine. Basically, buy plain meat, vegetables, grains, and dairy and prepare them yourself. Don’t eat preservatives, corn syrups, or novel vegetable oils like canola. Maybe they’re fine but there’s no reason to risk it. Also do your best to make sure what you eat followed the same rule; eg my beef was grass fed and finished and was not fed skittles in a feedlot. Diet affects animal meat as well, just as it does us.
  - SlowTao 1y ago
    This is good advise to get behind. I do feel like a lot of the optimal dietary advice is far to hard lined and that a better path really is just whole foods in moderation.
- nradov 1y ago
  Dietary recommendations have fluctuated widely for decades, and still differ substantially between sources. So far there is zero direct evidence that meat consumption causes fatty liver disease; I mean it's possible but we just don't know one way or the other. The only real data we have comes from low-quality observational studies (basically junk science). If someone wants to try limiting meat consumption as an "n=1" experiment to see how it affects their body composition and other biomarkers then go ahead. Just don't expect a major impact from that one factor.

tryasimight 1y ago

The two big ones are high fructose corn syrup and alcohol. I feel the hfcs is the bigger issue here because it is put in everything in the US, but moderating both of these will help. Look at labels and put back anything with hfcs. https://www.nih.gov/news-events/nih-research-matters/how-high-fructose-intake-may-trigger-fatty-liver-disease https://www.nih.gov/news-events/nih-research-matters/how-hig... https://pmc.ncbi.nlm.nih.gov/articles/PMC6549781/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6549781/

crazygringo 1y ago
HFCS isn't any meaningfully different from sugar. It's basically chemically the same as honey. And no, they don't put it in everything. It's in soda and certain sweets (obviously) and sweet sauces, but it's not like it's creeping into unexpected places in some huge way. Yes, there may be foods with a hint of sweetness that have a hint of HFCS, but then it's a negligible amount anyways. HFCS isn't some kind of bogeyman. It's essentially just sugar. Treat it accordingly.
- deleted 1y ago
  [deleted]
- chris_va 1y ago
  Fructose is processed by the body quite differently than sucrose, in a way quite relevant here. And actually one of humanity's major evolutionary advances.
  - eurleif 1y ago
    HFCS is typically 42:58 or 55:45 fructose:glucose. Table sugar is 50:50. HFCS is only "high fructose" relative to unprocessed corn syrup, not relative to table sugar and other common sweeteners.
    - Tallain 1y ago
      A small difference at small levels but one which obviously matters when it's shoved into countless foods without most people event realizing. It's not just in soda and candy; it's in bread, pasta, almost any processed food (crackers, ketchups and other sauces, canned fruit, applesauce, lunch meat, peanut butter, the list goes on) and many foods one might not considered processed. It makes sense to try to eliminate it even though it's "only" a small difference. Might as well remove the difference at all and look out for things with no HFCS shoved in it for no reason.

wokkel 1y ago

Bmi is one metric but you need to combine it with a measurement of your belly circumference. I had similar numbers but the weight was al in the belly and got diagnoses as type 2 diabetic with high cholesterol etc.