When Fatty Liver Starts Improving Fatty liver improves when its main metabolic drivers are addressed together. That’s why liver enzymes and imaging can change within months. 🥤 Cut liquid sugar (soda and juice) Liquid fructose is delivered straight to the liver, driving de novo lipogenesis and hepatocyte stress. Trials show that removing sugar-sweetened beverages rapidly lowers ALT and AST and improves liver fat on MRI or ultrasound, even before major weight loss (PMID: 30667502; 18925303; 28579
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