How to Reverse Fatty Liver: Nutrition and Lifestyle Tips

author avatar Dr. Eric Berg 08/31/2023

Both nonalcoholic fatty liver disease and alcoholic fatty liver disease are serious health conditions. They are characterized by excess fat storage in liver cells, which leads to loss of liver function and greatly increases the risk of cirrhosis and liver cancer.

Poor diet and lifestyle habits are often the root causes of liver disease and damage. However, improving your diet and lifestyle can potentially stop or reverse the progression of fatty liver disease.

Let’s look at seven steps you can take to minimize liver fat buildup.

Non alcoholic fatty liver

Seven tips to reverse fatty liver disease

According to Dr. Berg, “While avoiding alcohol and its toxic effects on liver cells is essential to reverse fatty liver disease, making the right dietary choices is equally important.”

A common misconception is that dietary fats are the leading cause of liver fat buildup. The most significant contributor to liver fat is a high-carbohydrate diet.

Eating sugar and carbs causes a rapid spike in blood sugar levels which triggers the release of insulin, a metabolic hormone that regulates blood sugar and energy production. 

When insulin is elevated, it signals the liver to convert excess blood sugar into fatty acids, which are stored in liver cells and cause fatty liver. 

Research published in Nutrients suggests that a high-carb diet and insulin resistance significantly increase the overall risk of fatty liver.

Here are seven ways to help promote normal insulin sensitivity, reverse fatty liver disease, and support a healthy liver.

1. Do Healthy Keto® and intermittent fasting   

Healthy Keto is a low-carb, high-fat diet that incorporates nutrient-rich foods. Following a nutritious low-carb diet is crucial to support balanced insulin levels and avoid blood sugar spikes that cause the deposition of fatty acids in liver cells. 

In addition, Healthy Keto shifts your metabolism to burn fats instead of sugars as fuel, which stimulates your liver to utilize stored fats to produce energy.   

Combining Healthy Keto with intermittent fasting is an excellent choice to maximize keto’s fat-burning effects. During fasting periods, your metabolism has to rely on breaking down stored body fat to produce energy which helps to eliminate liver fat.


2. Increase cruciferous vegetables

Cruciferous vegetables, including kale, parsley, mustard greens, and Brussels Sprouts, support liver health in several ways. 

These vegetables are rich in anti-inflammatory compounds and vitamin E, which protect liver cells from inflammation and damage caused by excessive liver fat, alcohol use, and the detoxification of metabolic by-products, drugs, and environmental toxins.

Research published in Nutrients also suggests that cruciferous vegetables contain phytochemicals, including sulforaphane, that increase your cell’s sensitivity to insulin and lower the risk of insulin resistance, a primary risk factor for fatty liver disease. 

The authors conclude that “Sulforaphane, a naturally active isothiocyanate compound from cruciferous vegetables used in clinical trials for cancer treatment, was found to possess the potency to alleviate insulin resistance.”    

3. Consume dandelion greens 

Dandelions are choleretic and stimulate the production and flow of bile needed to digest and absorb fats. Bile salts are also crucial for normal fat metabolism in the liver, and a bile deficiency can significantly increase the risk of fatty liver disease.

Watch the video below to learn what steps you can take to eliminate fat in your liver.

4. Take a daily apple cider vinegar drink 

Apple cider vinegar is a rich source of acetic acid, a naturally occurring acid that has been found to support healthy blood sugar regulation and increases cellular sensitivity to insulin, which prevents the conversion of blood sugar into fatty acids and reduces fat storage in liver cells. 

Drinking one glass of apple cider vinegar and lemon water daily is an excellent choice to support your liver health.  

5. Increase choline-rich foods 

Choline promotes liver health and regulates fat metabolism, and research published in Nutrients suggests that a low dietary intake of choline increases the risk of fatty liver disease. 

Choline is needed to produce phosphatidylcholine, which oxidizes fatty acids and converts them into energy. Without adequate choline, fatty acids can’t be transported out of cells and used as an energy source. 

Keto-approved choline-rich food sources include liver, eggs, chicken, fish, full-fat dairy products, and sunflower seeds. 

6. Enjoy a daily cup of coffee 

Several studies have found that drinking coffee lowers the risk of fatty liver disease and may help to reverse fatty liver in combination with a healthy diet and avoidance of alcohol. 

Although it’s not yet fully understood how coffee may reduce liver fat, it’s believed that polyphenols in coffee improve insulin sensitivity, reduce inflammation, and enhance fat metabolism in the liver.

7. Avoid junk food and processed foods

Processed foods are typically high in carbs and often contain artificial ingredients that can cause liver inflammation and liver cell damage, which can cause the buildup of liver fat.  

In addition, junk food consumption is linked to metabolic disorders, including obesity, metabolic syndrome, and insulin resistance, which are known risk factors for fatty liver disease. 

Liver illustration

What is fatty liver disease?

Fatty liver disease is characterized by excessive fat accumulation in liver cells. This interferes with normal liver function and can result in various metabolic disturbances, inflammation, and hormonal imbalances. If left untreated, fatty liver disease can lead to cirrhosis, liver failure, and cancer.  

Fatty liver disease can be categorized into two main types:

  • Nonalcoholic fatty liver disease (NAFLD) is primarily caused by dietary and lifestyle habits and obesity, type 2 diabetes, and insulin resistance appear to be risk factors for developing liver fat. A high-carb diet and excessive calorie consumption are believed to be closely linked to fatty liver disease. 

  • Alcoholic fatty liver disease results from prolonged alcohol use. The liver metabolizes ethanol, a cytotoxic substance that can damage liver cells, and too much alcohol can lead to inflammation, permanent scarring of the liver, and fat buildup. 

Watch the video below to discover the foods you should eat to reverse fatty liver disease. 

Symptoms of liver damage

Experts estimate that around 25 percent of adults have some degree of fatty liver disease—also known as the silent killer, due to a lack of early warning signs or symptoms. 

It’s believed that an individual can lose as much as 90% of liver function until the first symptoms of liver disease develop.

However, there are some health problems that may indicate fatty liver:

  • Malaise 

  • Bloating

  • Jaundice

  • Skin issues and itching

  • Protruding belly and ascites

  • High blood pressure 

  • Heart disease 

Because a fatty liver has no symptoms, a liver biopsy, blood tests, and abdominal ultrasound are often needed to diagnose liver disease. 

Fatty liver disease can have serious health consequences, and it’s important to consult with your healthcare provider to determine your liver health if you display any of these symptoms or are concerned that you may have developed liver fat.  

Liver ultrasound

Can fatty liver disease be reversed?

The liver is the only organ in the human body that can fully regenerate itself, and it's possible to reverse fatty liver disease. 

The most effective way to reverse liver fat is to address the underlying causes. If a fatty liver is caused by excessive body weight and insulin resistance, losing weight and following a low-carb diet can help to improve liver health. 

However, it's important to note that reversing fatty liver disease can take time. Depending on the severity of your fatty liver, it can take up to three years of not drinking alcohol and following a healthy low-carb diet to see noticeable improvements in liver health and function.   

Keto diet food ingredients

Key takeaways

Fatty liver disease can have serious consequences for your health and increases the risk of cirrhosis and liver failure. Fortunately, the liver is a unique organ that can heal and regenerate itself. 

You can support your liver health and reverse fatty liver by following Healthy Keto in combination with intermittent fasting, which promotes healthy insulin levels and primes your metabolism to eliminate fatty acids in liver cells.   

Avoiding alcohol, carbs, and junk foods while increasing cruciferous vegetables, choline-rich foods, and dandelion greens supports liver function and helps your liver cells get rid of excess fat.  


1. Is it possible to reverse fatty liver disease?

Yes, fatty liver can be reversed. However, depending on the severity of fatty liver disease, it can take considerable time to restore liver function.  

2. What is the quickest way to reduce fatty liver damage?

To reduce fatty liver damage, it’s essential to avoid alcohol and to follow a low-carb Healthy Keto diet that primes the liver to utilize stored fat in liver cells as an energy source. 

Increasing your intake of cruciferous vegetables, dandelion greens, and choline-rich foods also supports liver health and helps to eliminate liver fat.

3. Can fatty liver be fully reversed?

The liver is the only organ that can regenerate itself, and in some cases, fatty liver can be reversed with a nutrient-rich low-carb diet like Healthy Keto, intermittent fasting, and the avoidance of alcohol.    

4. How long does it take to reverse a fatty liver?

How long it takes to reverse a fatty liver depends on several factors, including the severity of liver fat, body weight, and diet and lifestyle habits. 

It’s important to note that fatty liver disease develops over prolonged periods, and it can take up to three years of dietary and lifestyle changes to reverse liver fat, heal liver damage and restore liver function. 

5. Can fatty liver be cured?

Fatty liver may be reversed by making beneficial dietary and lifestyle changes, achieving a healthy weight, and avoiding alcohol consumption. 

6. Does keto help with fatty liver disease?

Yes, keto is excellent for fatty liver disease and shifts your metabolism to burn fats instead of sugars as an energy source. This primes your liver to utilize stored fatty acid in liver cells, which helps to eliminate liver fat.    

7. What are the best foods for fatty liver disease?

Cruciferous vegetables, including mustard greens, parsley, and kale, have potent hepatoprotective properties that support liver cell function. 

In addition, choline-rich foods such as wild-caught salmon, egg yolks, and sunflower seeds promote fat metabolism and have been found to lower the risk of liver fat accumulation.

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