Lose 5%–10% of body weight if overweight
Follow a Mediterranean-style diet
Reduce sugar, especially fructose and sugary drinks
Limit refined carbohydrates and ultra-processed foods
Avoid or minimize alcohol
Exercise regularly, including aerobic and resistance training
Control blood sugar if you have diabetes or prediabetes
Manage cholesterol and triglycerides
Treat high blood pressure
Get enough sleep
Stop smoking
Review medications and supplements with a doctor
Get tested for hepatitis and other liver conditions
Follow up with a healthcare professional for liver monitoring
Consider coffee in moderation if tolerated
Use vitamin E only if prescribed by a doctor
Use medications for weight loss or diabetes only under medical supervision
Consider bariatric surgery if severe obesity and recommended by a doctor