and waist size show early metabolic syndrome/ prediabetes.
With lifestyle change (weight loss, diet, exercise), these are reversible at this stage.
Lifestyle interventions (the core treatment):
Weight loss target: Even 7–10% body weight loss can normalize
liver enzymes and
HbA1c.
Diet:
Focus on balanced meals: high fiber, lean protein, vegetables, whole grains.
Cut down refined carbs,
sugar, fried foods, packaged snacks.
Avoid sugary drinks completely.
Exercise: Continue gym but mix cardio + strength training. Go gradually (avoid overexertion early).
Quit tobacco (khaini) – it worsens cardiovascular and metabolic risk.
Medical work-up to rule out other causes:
Ultrasound abdomen (to check for fatty liver).
Viral hepatitis markers (HBsAg, Anti-HCV).
Lipid profile (cholesterol,
triglycerides).
Repeat
LFT after 4–6 weeks of lifestyle modification.