Can I Drink Alcohol with Fatty Liver Disease?

Strictly speaking alcohol isn’t something that most people with fatty liver disease have to completely avoid, but our suggestion is that abstinence is always the best policy. Not only will it keep your liver happy, but it’ll allow you to get a better baseline for your liver health.

Are there any medications or supplements?

Currently there are no medications available on the market for the treatment of fatty liver disease. As for vitamins and supplements, the jury is still out, but the ones most oft mentioned are Vitamin E and Milk Thistle. But for right now, diet, exercise, and other lifestyle changes are still the recommended treatment, though they only work for 1/3 of patients.

What is a good diet for MASLD?

At Covenant, we don’t like the word diet because diets work… until they don’t. If you’re one of those people that absolutely need a diet, then we recommend the Mediterranean diet. It has a good mix of lean protein, leafy greens, and healthy fats. It’s also important to stick to the outer aisles of the grocery store, that is less processed foods and more organic fresh fruits, products, and grass-fed meat. Stay away from synthetic pesticides and weed killers! Another key point is smaller portions, if you’re going to have a slice of cheesecake, then just have half a slice, save the other half for the next day.

What are the best exercises for MASLD?

Your leg muscles are one of the largest muscle groups in your body. On top of that, they’re also a muscle that you use every day without even trying to specifically work them out. Everything from chores around the house, to grocery shopping, to taking the dog out for a walk; they all use your legs. Low impact leg exercises are the way to go, not high impact; we don’t want our patients trading joint health for liver health. As your muscles gain mass, they’ll require more calories to maintain, and that’ll raise your basal metabolic rate, or the rate at which your body burns calories at rest.

Next steps!

What can do you do to keep track of your fatty liver status?

Thankfully, there’s a lot! Currently, the easiest way to watch over fatty liver is with regular blood tests and getting a FibroScan. FibroScan is a specialized type of ultrasound that measures both the amount of fat in your liver AND the amount of stiffness. The machine looks at stiffness because an excess amount of fat in your liver can cause damage which can lead to scar tissue and inflammation, both of which reduce flexibility and increase tissue stiffness. Left unchecked, fatty liver disease can progress to severe scarring of the liver, called cirrhosis, and after that, liver failure.

Please contact us for any questions regarding your liver.
Our staff awaits your visit to Covenant Metabolic Specialists.

Clinical studies are research studies in which real people participate as volunteers. Clinical research studies are a process where new treatments are developed. Our clinical trials focus on evaluating the effects of an investigational product on health outcomes. There are strict rules for clinical trials, which are monitored by the U.S. Food and Drug Administration. The clinical research trials at Covenant may be promising new treatments that may directly benefit patients.

The health of millions of people and animals all over the earth, have been improved because of advances in science and technology, and the willingness of thousands of individuals like you who take part in clinical research. The role of volunteers as partners in clinical research is crucial in the quest for clinical knowledge that will improve the health of future generations. Without your help, the research studies at Covenant could not be done.

Yes, the clinical studies at Covenant compensate volunteers for time and travel. All research therapies at Covenant are safe and effective.

Covenant focuses primarily on late-phase clinical trials, that is phase 2 and phase 3.

The phase 2 study involves a drug whose dose and side effects are well known. Many more volunteer subjects are tested, to define side effects, learn how it is used in the body, and learn how it helps the condition under study.

The phase 3 study compares the new drug against a commonly used drug if one is available. Some volunteer subjects will be given the new drug and some the commonly used drug. The trial is designed to find where the new drug fits in managing a particular condition.

Placebos are harmless, inactive substances made to look like the real medicine used in the clinical trial. Placebos allow the investigators to learn whether the medicine being given works better or no better than ordinary treatment. If a placebo is part of a study, you will always be informed in the consent form given to you before you agree to take part in the study. When you read the consent form, be sure that you understand what research approach is being used in the study you are entering.

Medical research is dogged by the placebo effect – the real or apparent improvement in a patient’s condition due to wishful thinking by the investigator or the patient. Medical techniques use three ways to rid clinical trials of this problem. These methods have helped discredit some previously accepted treatments and validate new ones. Methods used are the following: randomization, single-blind or double-blind studies, and the use of a placebo.

Randomization is when a volunteer is randomly assigned to one of the treatment arms involved in a study.

Risks are involved in clinical research, just as there are in any regular medical care and most activities of daily life. In thinking about the risks, it is helpful to focus on two things: the degree of harm that could result from taking part in the study, and the chance of any harm occurring. Most clinical studies pose risks of minor discomfort, lasting only a short time. Some volunteer subjects, however, experience complications that may require medical attention. The specific risks associated with any research trial are described in detail in the consent document, which you review before taking part in research. In addition, the major risks of participating in a study will be explained to you by a member of the research team, who will answer your questions about the study. Before deciding to participate, you should carefully weigh these risks.

The following section describes safeguards that protect the safety and rights of volunteers. These include:

Protocol review. As in any medical research facility, all new protocols must be approved by an institutional review board (IRB) before they can begin. An IRB consists of medical specialists, statisticians, nurses, social workers, and medical ethicists. The IRB is the advocate of the volunteer subject. The IRB will only approve protocols that address medically important questions in a scientific and responsible manner.

Informed consent. Your participation in any research protocol is voluntary. For every study in which you intend to participate, you will receive a document called an informed consent form or ICF. The ICF explains the study in straightforward language. A member of the research team will discuss the trial with you, explain its details, and answer your questions. Reading and understanding the ICF is your responsibility. You may discuss the ICF with family and friends. You will not be hurried into making a decision, and you will be asked to sign the document only after you understand the nature of the research and agree to the commitment. At any time after signing the protocol, you are free to change your mind and decide not to participate further. This means that you are free to withdraw from the study completely, or to refuse particular treatments or tests. Sometimes, however, this will make you ineligible to continue the study.