Lose 5–10% of body weight (if overweight)
Follow a calorie-controlled, balanced diet
Limit added sugars (soda, sweets, desserts) and refined carbs (white bread, pastries)
Reduce saturated fats and trans fats (fatty meats, processed foods, butter, fried foods)
Choose unsaturated fats (olive oil, nuts, seeds, avocado)
Eat plenty of non-starchy vegetables (salads, greens, cruciferous vegetables)
Prefer whole grains and high-fiber foods (oats, brown rice, legumes)
Limit alcohol or avoid it completely
Keep fructose from fruit juices and sweetened drinks to a minimum
Aim for regular physical activity (at least 150 minutes/week of moderate exercise)
Include resistance training 2–3 days/week
Manage diabetes/insulin resistance with a clinician’s plan
Control cholesterol and triglycerides with diet and/or medication as prescribed
Take medications only as prescribed for fatty liver–related conditions (e.g., diabetes, lipids)
Avoid unnecessary supplements; check with a clinician before using herbal products
Review medications with a clinician if fatty liver is suspected (some drugs can contribute)
Get regular follow-up liver tests and risk assessment (ALT/AST, fibrosis scoring, ultrasound as advised)
Consider noninvasive fibrosis assessment (e.g., FIB-4, elastography) if recommended by a clinician
Screen for other causes of liver disease (hepatitis B/C, alcohol-related disease, autoimmune causes, iron overload)
Seek medical care promptly if symptoms occur (jaundice, swelling, vomiting blood, black stools, severe fatigue)