Symptoms, conditions and causes

What are the causes for fatty liver?

Fatty liver means that there is fat surrounding your liver that can decrease the function of the liver and cause inflammation. 25% of the world’s population (adults) have fatty liver disease. 40% of the US population has fatty liver disease.

Fatty liver, if not reversed, can eventually turn into a cirrhosis of the liver, in which an inflammation results in scar tissue in the liver.

Sometimes there are no symptoms; you can do a fibroscan test to see if you have fatty liver disease in its early stages.

It’s good to know that your liver can fully regenerate. However it may take two or three years, depending on the severity of the condition.


  • Obesity

  • Diabetes

  • Fatigue, feeling sluggish

  • High cholesterol

  • Decreased bile

  • Belly fat

  • Back fat

  • Itchiness/redness (on palm of the hands or bottom of the feet)

  • Confusion

  • Insulin resistance

  • Bad breath

  • Arthritis

  • Inflammation across the body

  • Malaise

  • Right shoulder pain

  • Clogged arteries

  • Pain at the middle-right or top-right part of the body

  • Heart pain

  • Gynecomastia

  • Night blindness

  • Lack of bile

  • High cholesterol

  • Hypothyroidism

  • Arrhythmia

  • Skipped heartbeats

  • Increased pulse rate

  • High blood pressure

  • Bloating

  • Right shoulder pain

  • Yellowing of the whites of your eyes

  • Skin issues

  • Too much estrogen.

Cause #1: High levels of insulin / insulin resistance

If you consume a lot of refined carbs and snack often this can cause your body to keep producing high amounts of insulin (a fat-storing hormone). Insulin stores excess blood sugar as fat in your body. The liver is one of the storage places. This fat will inflame your liver and cause a lot of additional problems.

One thing to know is that fructose, from fruit or from high-fructose corn syrup, can cause a fatty liver very fast. Avoid fructose.


  • Avoid refined sugars and carbohydrates

  • Avoid fructose and high-fructose corn syrup

  • Avoid snacking

  • Do the Healthy Keto® diet

  • Do intermittent fasting

  • Consume choline

Cause #2: Choline deficiency

Choline is a fat-soluble B vitamin that is vital for the healthy functioning of your brain and body. It also helps to prevent fat accumulation on your liver--along with many other great benefits. Choline is one of the best ways to remove fat from your liver as well; it helps to metabolize the fat. So if you have a fatty liver choline is one of the best ways to reverse this condition.


  • Consume a choline supplement

  • Consume foods high in choline:

  • egg yolks, pasture-raised organic

  • liver, grass fed

  • poultry

  • meat

  • cruciferous vegetables

  • peanuts

  • dairy

Cause #3: Omega-6 fatty acids

If you consume oils containing omega-6 fatty acids, they can create a lot of inflammation in your body and can cause a fatty liver. This is because these fats are very harmful to the body. Avoiding these while treating the liver should help. You should get rid of the foods containing these fats and substitute with foods high in omega-3 fatty acids (anti-inflammatory).


  • Avoid the following (which contain omega-6):

    • poultry

    • nuts

    • grains

    • pumpkin seeds

    • flax oil

    • sunflower oil

    • cottonseed oil

    • safflower oil

    • vegetable oil

    • canola oil

    • corn oil

    • grain-fed dairy

    • GMO oils

  • Substitute with the following (which contain omega-3):

    • high-quality fish oil

    • virgin cod liver oil

    • sardines

    • fish

  • anchovies

  • eggs

  • grass-fed products

  • Also consume the following:

    • virgin coconut oil

    • olive oil

  • Avoid trans fats

Cause #4: Alcohol

Alcohol is very toxic to your body. The organ that specializes in detoxifying your body is the liver. If you consume too much alcohol regularly, this can slow down and inflame your liver, causing it to accumulate fat as well because alcohol has carbohydrates in it.


Avoid alcohol

Additional remedies for a fatty liver

  • Consume organic foods

  • Consume grass-fed liver

  • Consume egg yolks

  • Consume probiotics

  • Consume moderate amounts of protein (3 oz/meal)

  • Consume l-arginine

  • Consume manganese

  • Consume vegetables (7 to 10 cups daily)

  • Consume celery

  • Consume choline

  • Consume a tocotrienols version of vitamin E

  • Consume purified bile salts

  • Consume garlic

  • Consume radish

  • Consume cruciferous vegetables

  • Exercise regularly (don’t overtrain)

If you are on a ketogenic diet with intermittent fasting

While on a ketogenic diet and intermittent fasting your body burns your own fat as a fuel.
One thing to know is that while you are pulling the fats from storage in the body it can potentially store some of the fat in the liver. The best way to make sure that the liver doesn’t get fatty from the ketogenic diet is to consume a lot of vegetables (7 to 10 cups daily). Vegetables can help pull out fat that has built up in your liver.


Make sure to consume 7 to 10 cups of vegetables a day.

Other causes:

  • Medications:

    • Tamoxifen • steroids • Tylenol • statins • antibiotics • others

  • Gastric bypass

  • Extreme low-protein diets

  • Viruses

  • Bacterial infections

  • Parasites

  • Low amounts of vegetables in diet

  • Deep-fried foods

  • Inflammatory conditions

Last updated: Jun 27, 2023 14:02 PM