Non alcoholic Fatty liver disease. Take?

Triphala churan 3 gm with honey twice a day Make a decoction by adding 1 pinch trikatu churan, half lemon juice 20 ml aloevera juice, 0 ml bhumiamla juice, 10 ml giloy juice in a glass of water and drink it in noon

Fatty liver can easily be reversed with HAIP DIET. Also she can achieve her weight loss goals as well with it. Consult if assistance is needed.

Consult for proper treatment.

Consult here for proper treatment and guidance

Fat free diet to reduce burden on liver. Add bottle gourd and ridge gourd in your diet. Take Nirocil and Arogyaverdhani rasa thrice dairy after food. Patola katukarohinyadi Akshaya 20 mL twice daily before food with warm water.

First aim is to manage her wt.than medicine will work.

avoid spicy sour fermented processed oilyhotfood eat healthydiet drink plenty of water avoid stress eat light home cook lightfood dalia seasonal fruits vegetables pomegranate

do exercise pranayam yoga meditation daily

MASLD i.e. Fatty Liver Has whole new considering to regime management to sort healthy

plz share ur recent reports and only medicine won't add much value

diet, exercises and thyroid test insulin resistance needed to consider

I’m really glad your sister has started focusing on her health early — **Grade 3 fatty liver** (advanced steatosis) can often be **significantly improved or even reversed** with the right combination of weight loss, lifestyle change, and liver-supportive therapy. Let’s go step by step 👇 --- ## 🩺 1. Understanding Grade 3 Fatty Liver * **Grade 1:** mild fat accumulation * **Grade 2:** moderate * ✅ **Grade 3:** severe accumulation of fat in the liver — but **still reversible** in many cases if cirrhosis hasn’t set in. * Common causes: obesity, insulin resistance, high refined carbs, sugary drinks, sedentary lifestyle. * If unmanaged, it can progress to **Non-alcoholic steatohepatitis** (NASH) or even fibrosis. --- ## 💊 2. Role of **Silymarin** Silymarin is a standardized extract from milk thistle (Silybum marianum) with antioxidant, anti-inflammatory, and liver-protective actions. ### Typical Dosage (General Reference) * **200–420 mg per day** in divided doses (e.g., 140 mg 2–3× daily). * Many clinical studies on fatty liver use **420 mg/day** as standard. * Best taken **after meals** for better tolerance. ⚠️ However: * Dosage can vary by product formulation. * She should consult her hepatologist or physician for exact dosage, especially if she is on other medications. --- ## 🥦 3. Lifestyle & Diet (Most Important for Reversal) Medication helps, but **weight reduction** is the single most effective intervention for Grade 3 fatty liver. ### 🎯 Weight Loss Goal * **7–10 % weight loss** over 6 months can significantly reduce liver fat. (For example: if she weighs 90 kg, aim to reduce 6–9 kg gradually.) ### 🍽️ Diet Guidelines * ❌ Cut down refined carbs (white rice, maida, sweets, sugary drinks). * ✅ Eat more: green vegetables, high-fiber foods, legumes, moderate fruit. * 🍳 Include lean proteins: paneer, pulses, tofu, eggs, fish, chicken (if non-veg). * 🫕 Use healthy fats in moderation: cold-pressed oils, nuts, seeds. * 🚫 Avoid alcohol, junk, processed food completely. * ✅ Eat dinner early (2–3 hrs before sleep). --- ## 🏃 4. Exercise Routine * **150 min/week** of brisk walking or moderate cardio (30 min × 5 days/week). * Add **2–3 days of strength training** (builds muscle, improves insulin sensitivity). * Start gradually if she’s not used to exercise. --- ## 🌿 5. Ayurvedic & Natural Liver Support (Optional Add-ons) These can be **used along with** silymarin (with medical guidance): * *****mla** (******) — 1–2 g powder or 15 ml juice twice daily before meals. * ********* — useful for liver congestion (vaidya’s advice for dosage). * **Liv 52** (herbal supplement) — sometimes used as supportive therapy. 🪔 *These support detoxification and inflammation control, but they are **not substitutes** for lifestyle correction.* --- ## 🧪 6. Regular Monitoring * **Liver function test (LFT)** every 3–6 months * **Ultrasound** annually to track regression of fat * Check **blood sugar**, **lipids**, and **HbA1c**, since fatty liver often accompanies metabolic syndrome. --- ## 🚨 When to Consult a Specialist Urgently * Jaundice, persistent fatigue, loss of appetite, abdominal swelling, or itching. * Elevated liver enzymes that don’t improve with lifestyle measures. --- ✅ **Summary Plan for Your Sister** * **Silymarin**: typically 420 mg/day (in 2–3 divided doses), but confirm with her doctor. * **Weight loss**: 7–10 % body weight over 6 months through diet + exercise. * Strict no sugar, junk, or alcohol. * Regular monitoring of LFT and ultrasound. * Optional liver support with ******** --- Would you like to tell me your sister’s **current weight** and **LFT reports (if any)**? I can then suggest a more tailored **weight-loss & liver care plan** for her. Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine. Consult me personally for details.

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kindly follow the advice.

Hi dear... It is better if she starts ayurvedic herbs along with diet which suits her body type and exercise. Ayurveda has given good results in such case which will help her detox her liver and reduce weight simultaneously.

consult for customised plan

Start proper ayurvedic medicine... To get rid of this problem permanently without any side effects

consult for prescription and guidance

few precautions need to be done

Need to seek the gastroenterologist for proper evaluation before starting any medication

Swelling near anus after fissure is usually due to constipation or tag inflammation. Ayurveda helps heal, soften stools & prevent recurrence with medicines & diet correction. Please consult me for a personalized plan.

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine