Grade 1 fatty liver with a mildly enlarged liver and normal LFT is a reassuring combination, and in my experience it is largely reversible with sustained lifestyle change rather than medicines. Vitamin E and the other supplements you have been given are supportive at best; they are not the treatment. The real treatment is a 7-10% weight reduction over 6-12 months, cutting sugar, refined flour, fried food and alcohol completely, and 40-45 minutes of brisk walking most days. Since you have hypothyroidism and a high triglyceride level, keeping your TSH in range and rechecking your lipid profile and LFT every 3-6 months matters more than adding another capsule. You do not need a special hospital for this - any general physician who follows you regularly is enough.

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A few things stand out here that are worth addressing together rather than separately: your liver size increasing from 14cm to 17cm within a month is a meaningful change and shouldn't be looked at in isolation from the fatty liver — it's worth confirming whether this is measurement variation between scans/machines or an actual progression, since that changes the urgency. On Evion 600mg — long-term high-dose Vitamin E does carry some risk (bleeding tendency, and rarely other effects) with prolonged use beyond what's typically recommended, so the duration and whether it should continue is worth re-checking against current guidance rather than continuing indefinitely on the same dose. Given you're also on thyroxine, vitamin D, and a triglyceride medication together, this really needs someone to review the full picture — the interplay between your thyroid control, lipid levels, and liver findings — rather than treating each report separately. I'd suggest a consult so we can go through your recent scan and reports together and plan the next steps properly.

Evion 600 mg contains Vitamin E, which acts as an antioxidant to help lower oxidative stress and inflammation in non-alcoholic fatty liver disease (NAFLD). However, self-prescribing high-dose Vitamin E can lead to toxicity or interact with other health conditions, so it should only be used under medical supervision. Clinical guidelines sometimes suggest specific dosages of Vitamin E for biopsy-proven non-alcoholic steatohepatitis (NASH), but it is not a universal cure for all stages of fatty liver. A600 mg dose is relatively high. Excessive fat-soluble vitamins build up in body tissues, which can cause adverse effects. High doses may increase bleeding risks, interfere with blood thinners, or cause nausea, fatigue, and stomach cramps.

Continue vit E good for liver Also reduce T g Avoid oily fried food Eat vegetables and beet root Black coffee once a day exercise Reduce oil and salt Check lft 3 monthly Reduce salt and sugar Less carbs Control sugar levels

Continue same medications Say no to oily food or alcohol consumption Never discontinue hypothyroidism medications until doctor advised

Continue the same treatment

Grade-1 fatty liver is often reversible, and an enlarged liver needs evaluation for the underlying cause rather than treatment based on ultrasound grade alone. Current liver guidelines emphasise assessment of metabolic risk factors and fibrosis risk along with lifestyle management.

Grade1 fatty liver is reversible, but the increase in liver size from 14 to 17 cm should be evaluated along with your metabolic and thyroid status. Please book a consultation to review the reports and medications and create a personalized plan for improving liver health.

Continue medicine  as such no side effect of vitamin e

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Gastroenterologist

Kindly consult for proper evaluation and treatment.

Do consult

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help u

Needs evaluation Do consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need few more details for further evaluation. Please consult

Agra Gastro Liver Centre