◆ Liver drugs in the treatment of fatty liver disease, is merely a supplementary measure

◆ as long as a reasonable diet, less alcohol, more exercise, rational drug use, they can stay away from fatty liver

Fatty liver, liver cells refers to accumulation of excess fat. Degree of harm caused by their accumulation, divided into three types: simple fatty liver, fatty hepatitis, fatty. From the incidence of sub-factors, fatty liver is divided into alcoholic and nonalcoholic two kinds, the former is due to excessive intake of alcohol-attributable; the latter is mainly related to obesity, and dyslipidemia and other relevant.

Non-alcoholic fatty liver disease is also a lot of harm

We often see in various media, many of the alcoholic fatty liver articles, but rarely talk about non-alcoholic fatty liver. In fact, non-alcoholic fatty liver incidence rate is not low, and the incidence rate showed an upward trend year by year, the patient is becoming a younger age. According to a statistics show that Shanghai in school the incidence of fatty liver in obese children as high as 46.7%. Ago, everyone of their importance, it would be classified as sub-healthy state, in fact, it has a lot of harm:

● At least 20% of non-alcoholic fatty liver is not simple, and has developed into steatohepatitis, cryptogenic cirrhosis, and this is an important precancerous lesion, is also one of the causes of liver failure.

● Even the simple, and its liver as compared with normal liver, but also a number of fragile, more vulnerable to drugs, industrial toxins, alcohol, ischemia, and viral infections such as injury, leading to other types of liver disease occur. Non-alcoholic fatty liver disease has become a developed country (or region) the primary cause of chronic liver disease. In addition, if the fatty liver as the liver for liver transplantation, liver transplantation is also easy to place non-functional.

● For the overweight and obese persons, fatty liver occurs, it may prompt “a vicious obesity.” Such people are very easy to concurrent dyslipidemia and disorders, diabetes, so, the probability has increased significantly. “Non-alcoholic fatty liver disease” as a disease, should arouse enough attention. Even if no symptoms, and not associated with elevated transaminase (often as simple) and fatty liver, should be a timely prevention and treatment. Appropriate prevention and treatment in the “pure” when

Sow the seeds were either farming or Zaiyang, we must choose a season. Treatment of fatty liver is also the case, when the sights were. To seize the fatty liver “simple” the prevention and control, this will greatly assist.

The term originated from fatty liver pathology, refers to diffuse fatty infiltration of the liver, depending on whether accompanied by inflammation, necrosis and fibrosis, were divided into simple fatty liver, fatty hepatitis and fatty cirrhosis of the liver. Simple fatty liver, fatty hepatitis and fatty cirrhosis of the liver disease is a gradual process of development. Simple fatty liver is a variety of liver injury in an early manifestation of toxicity, such as the timely removal of the cause and control of primary disease, mild liver fat deposition in a few months may be dissipating. If on the early intervention of simple fatty liver, which can be developed to the people dreaded by cirrhosis of the liver.

Can be seen that fatty liver is in need of treatment. Typically, doctors have an integrated approach to the treatment of fatty liver, which includes the prevention and treatment of the original disease or related risk factors, regulating diet, exercise, drugs and physical treatment. For example, intake of a balanced diet, moderate aerobic exercise, and correct harmful lifestyles and behavior, weight control. Alcoholic fatty liver patients had to quit drinking, but also the need to prevent drug abuse and other factors that may trigger liver deterioration.

Drugs: only play a supporting role in

Once the development of steatohepatitis, or accompanied by blood lipids, blood glucose, liver function and other abnormalities, in addition to the above-mentioned behavior control, still need a certain drug adjuvant therapy. Be explained that so far not found at home and abroad a panacea for the treatment of fatty liver, that is no cure for fatty liver can be removed. Existing drugs mainly for its etiology, pathogenesis, related diseases, have side effects, therefore, must be taken under the guidance of a doctor.

Weight-loss drug: For obese patients with liver disease, elevated liver enzymes weight loss can be improved, the U.S. FDA approved the use of drugs sibutramine and orlistat.

Reminded: Fatty liver in patients lose weight as quickly as possible, but the rapid weight loss but can add to liver inflammation and fibrosis, it is a weekly weight loss should not be more than 1.2 kilograms (children per week does not exceed 0.5 kg).

Insulin-sensitizing agents: Insulin resistance is one of the mechanisms of fatty liver formation, in particular associated with blood glucose abnormalities in patients with insulin-sensitizing agents, such as metformin and thiazolidinediones can improve insulin resistance, some patients receive liver tissue learn better.

Remind: This class of drugs with potential liver toxicity, liver function be monitored during drug use. In addition, metformin need to monitor the serum creatinine values during the period, who underwent surgery and the use of iodine X-ray examination before they can withdrawal.

Cholelithiasis in patients with fatty liver was significantly higher prevalence may be related to high-fat diet, obesity, diabetes, multiple metabolic disorders related; In addition, patients with fatty liver triglycerides in liver cells the imbalance between the synthesis and excretion may affect the liver the formation of abnormal bile, leading to bile in the bile salts, phospholipids, cholesterol changes in the composition of the results easy to form cholesterol gallstones. In addition, the obese patients with fatty liver in fast to lose weight, lipid-lowering therapy with fibrates could also induce the occurrence of cholelithiasis.

Clinically, patients with fatty liver complicated by cholelithiasis, once the original liver disease symptoms usually increase, resulting in significant right upper quadrant pain, liver discomfort, some patients even Biliary Colic, fever, jaundice, liver function can also be a result of concurrent cholelithiasis biliary obstruction and biliary tract infection worse. Therefore, patients with fatty liver liver does not apply to newly issued or existing liver disease-related symptoms increased vigilance should be the possibility of concurrent cholelithiasis. In view of fatty liver can be induced cholelithiasis and cholelithiasis can also exacerbate the appearance of clinical manifestations of fatty liver, so in the development of fatty liver treatment programs should take into account how to prevent the occurrence of cholelithiasis, and in dealing with cholelithiasis should also be also consider how to treat fatty liver.

A large number of clinical trials indicate that prevention and treatment of cholelithiasis does the treatment of chronic liver function through the sky effect. Danning tablets by Chinese medicine, “Shugan,” “gallbladder” for the treatment of cholelithiasis, cholelithiasis significant effect not only on, but also to improve the liver function is also a very good clinical results, prospects for the treatment of fatty liver. Similarly, the “liver can be downloaded from gall on the rule” as early as 2,000 years ago, Chinese scholars had to use bear bile (the main component ursodeoxycholic acid) in the treatment of chronic liver disease has been widely used at home and abroad in recent years, Bear deoxycholate acid, such as gallbladder Danning tablets in the treatment of fatty liver caused by a variety of reasons. In short, prevention and treatment of fatty liver and cholelithiasis, we should give priority to consider the application of ursodeoxycholic acid, bile-ning films, polyene phosphatidyl choline and other hepatobiliary diseases prevention and control of both Chinese and Western medicine, which justified because of Danning Tablet gas pass they function, especially for those who simultaneously the treatment of constipation and abdominal distension, while the polyene phosphatidylcholine also adjusted for blood lipids, preferably for the prevention and treatment of hyperlipidemia steatohepatitis.

At present the view that nourish the liver and gallbladder associated with drugs in the treatment of fatty liver damage in patients with hepatitis when the patient In addition to medication, the long-term while also adhering to the scientific way of life, and strive to achieve dietary restraint, increase exercise, reduce drinking wine and entertaining, otherwise it will rely on drugs to cure a fatty liver can still relapse.

When doctors told the thirty or forty-year-old patients with fatty liver, we should note that a reasonable diet, control diet, adequate exercise, some people think that a reasonable diet is the “ring of meat, eating cabbage to help son, He Liangshui” was in fact the opposite. Adequate amount of protein can remove the liver fat, should be guaranteed a daily intake of 80 to 100 grams (22 or so). Total eating steamed bread and rice is not only a monotone problem, for the prevention and treatment of fatty liver is not any good, it may be used oats, corn, sweet potato, bean products regulate what can not only satisfy the taste, but also very beneficial to the control of fatty liver. Because these foods contain very rich in linoleic acid, calcium, selenium, lecithin, vitamin E and more of the cellulose, can reduce serum cholesterol, triglycerides, and in the body due to excessive consumption of meat and eggs produced by toxin to maintain body acid-base balance, and may be too much intestinal fat, sugar, toxins eliminated from the body, play a lipid-lowering effect.

There are six major causes of fatty liver

Increased incidence of fatty liver, and people’s living habits, diet has a close relationship.

Cause a long-term alcohol: Alcohol is the No. 1 killer of the liver, drinking more, fatty liver, the more serious.

Excess nutrients cause 2: the excess nutrients into stored fat, can lead to obesity and fatty liver.

Malnutrition causes 3: Long-term malnutrition, lack of certain proteins and vitamins, can cause nutritional deficiency fatty liver.

4, diabetes and other causes of chronic diseases: Fatty liver in patients with type 2 diabetes incidence rate of 40% ~ 50%.

Cause of 5 drug-induced liver: drug-induced liver hepatitis accounts for 10% of adults.

6 causes hyperlipidemia: hypercholesterolemia and fatty liver in close, with the closest relationship to hypertriglyceridemia.

Focuses on prevention of fatty liver

In addition to a reasonable diet, the fatty liver patients must pay attention to dietary restraint, appropriate exercise, wise use of medication and regular medical examinations.

A moderate diet: First, to control calorie intake to lose weight to standard weight as the target, so that energy consumption is higher than energy intake.

2 appropriate exercise: Every day persist in physical training, visualization own constitution the appropriate choice of sport. Small amount of exercise should be started gradually, step by step to achieve the appropriate amount of exercise.

3 used with caution drugs: to have symptoms of fatty liver patients, in the selection of drugs must carefully guard against the toxic side effects of drugs, drugs are harmful to the liver is absolutely can not be used, to avoid further aggravating liver damage.

1, mild fatty liver concealed strong

Fatty liver is due to various causes excessive accumulation of fat in liver cells of the lesion. Fatty liver and normal liver weight accounted for 3% to 4%, if the fat content of more than 5% of liver weight shall be fatty liver, severe cases, the amount of fat up to 40% ~ 50%, fatty liver lipids are mainly triglycerides.

According to the Shanghai branch of the First People’s Hospital of Traditional Chinese Medicine, Wang Yaping, director of physician, due to fatty liver in non-infectious, no significant pain or fever performance, so the rate of early detection and early awareness rate is always low. When the hidden highly fatty liver was found, the course of the disease often has entered the stage of liver fibrosis and cirrhosis, liver metabolism had decreased to normal or even lost. At this point even if the active treatment is also difficult to pathological changes of the liver returned to normal. Therefore, the risk of fatty liver not only in the latter part of the lives and health of its great dangers, but also in its early asymptomatic covert.

    Want to know more? Please attention: Fatty liver against the “three-prescription” fat liver “phase” of you?

Second, high-risk groups need to be vigilant

No matter how well concealed fatty liver, there are always clues to prompt its existence. Fatty liver and obesity, overweight, excessive alcohol consumption, diabetes, gout, hyperlipidemia, hyperviscosity, hypercalcemia and other metabolic disorder closely related to an increase, so obese people, excessive drinkers, high-fat diet less mover, chronic liver disease and elderly endocrine patients, especially the need for regular adoption of B-ultrasound findings and see whether duration of disease and geometry. A fatty liver for clinical studies have shown that about 1 / 4 of patients with fatty liver have been co-existence of liver fibrosis, 1.5% to 8.0% of patients with cirrhosis of the liver occurs. WANG Ya-ping, director of Doctors also warned that some only a sense of fatigue or performance as a good appetite, I am pleased greasy, cholesterol, elevated triglycerides people must exercise extreme caution.

Third, symptomatic treatment programs difficult to dig up the roots

In recent years, as China’s diet and lifestyle changes in the incidence of fatty liver increasing and has become the second largest after the viral liver disease. It is reported that Shanghai, the incidence of fatty liver disease in the country, “top.” Western medicine treatment for fatty liver impressive, and symptomatic difficult to dig up the roots. And more patients with fatty liver that is not a major illness, and no need for treatment. Efforts were also made in the life of a small number of patients to reduce high-fat diet, more exercise, less alcohol. But not long-term adherence, and soon re-emerged. Laissez-faire attitude, absolutely nothing on behalf of the majority of people approach the diagnosis and treatment of fatty liver.

Beijing University of Chinese Medicine Dr. Lee expressed sorrow, when the emerging clinical liver pain, abnormal liver function, fatigue, nausea, impotence, amenorrhea and other symptoms, and even developed into liver fibrosis and early cirrhosis only when caused by patient attention, this is very regrettable.

From the mother during pregnancy should be initiated to prevent, not to over-nutrition to the fetus and mother overweight. After birth, to breast-feeding, on-demand breast-feeding, do not demand that children eat too much, in particular, should be corrected hope that the more fat the better the idea of children from childhood to develop good eating habits, eat candy, cakes and other sweet snacks and dried foods nature, not eating and drinking, and to develop the habit of loving exercise to prevent the pre-puberty and puberty obesity. Middle age and menopause, should be adjusted according to the specific amount of food and food structure, and enhance the exercise, to keep the heat out of balance. After retirement should be an appropriate reduction in food intake, in particular, should be reduced by high-fat, high-calorie diet, eat fruits and vegetables, do not eat, or eat animal intestines, eat less salt, amount of tea, and cultivate the habit of hyperactivity, as far as possible to extend the Daily participation in sports time.

As the person’s life can occur at any time in obesity, therefore, the prevention of obesity should be long-term, enduring task. Scientific and rational food system, and promptly correct unhealthy eating and living habits, as well as long-standing moderate amount of physical activity to prevent obesity and its associated complications in an effective manner.

How to prevent toxic fatty liver

For industrial workers, the occupational exposure to the liver clear of toxic substances and potentially toxic substances occurring non-alcoholic steatohepatitis is one important reason.

Environment of the liver toxic substances include: mineral, the product of industrial processes, and the nature (plants, fungi, bacteria) exist in a variety of pro-liver poison. Benzene, ethylene dichloride, ethylene dichloride, barium salts, and cerium can cause isolated liver steatosis. Inorganic arsenic compounds, bromobenzene, carbon tetrachloride, chloroform, chlorine biphenyl, polychlorinated naphthalene, methylene chloride, 2 nitrobenzene, trinitrotoluene, tetrachloroethane, ethylene dichloride, naphthalene, 22 3, phosphorus, chromium, can cause liver cell necrosis and fatty degeneration.

The same as with other occupational poisoning, toxic fatty liver prevention include improving sanitation, improve operational processes and strengthen personal protection and so on. Specific measures: ① pre-employment health checks should include liver function, and HBsAg, should be considered abnormal liver poison can not engage in contact with the work of the pro-; ② pro-liver toxic exposure of workers to be medically examined on a regular basis liver function and liver B-, abnormal should be transferred and be properly handled; ③ contact with the pro-liver poison workers, should be disabled with liver damage, as well as on hepatic drug-metabolizing enzymes, such as mixed-function oxidases are induced by drugs, avoid contact with 223 other pesticides; ④ Liver toxic exposure of workers to be pro-temperance, dietary protein content, as well as the appropriate increase in vitamin B and vitamin C.

How to prevent drug-induced fatty liver

Several dozens of drugs may be related to fatty liver, such as the use of long-term high-dose corticosteroids, tetracycline, synthetic estrogen, 3-phenoxy alkyl, L-asparaginase, methotrexate, nifedipine, sodium valproate, as well as Amiodarone and other anti-arrhythmia drugs. Interestingly, chlorine Bedin fat (clofibrate), flexible enzyme cholesterol-lowering drugs not only is not an effective prevention and treatment of fatty liver, and sometimes contrary, it will trigger and exacerbate fatty liver. Therefore, in taking on the role of liver injury in drugs, medication is important to note the following points: ① must strictly abide by doctor’s advice, not hearsay, self-medication. Dosage should not be too big, not too many types of medication, in order to avoid drug interactions, respectively, Chinese and Western medicine is best to use, such as must be taken in the middle should interval 2 ~ 3 hours. Pairs of patients with multiple diseases, drug treatment, the focus should be phased medication. ② to observe the adverse drug reactions, physicians should be more exchange of information with patients, and if the long-term medication, should be regular follow-up liver function, blood lipids and liver B-for early detection of liver damage. Time out suspected drugs, most patients resume, only a very small occurrence of drug-induced liver disease become severe hepatitis or cirrhosis of the liver.

How to prevent total parenteral nutrition in patients with fatty liver

Total parenteral nutrition is supplied through the central venous catheter in patients with all the necessary nutrients so that patients do not eat in the state can maintain a good nutritional status. Used for high intestinal fistula, esophageal fistula, cancer patients before and after surgery and so on. Clinical study found that total parenteral nutrition can cause high blood sugar, high blood lipids, as well as the lack of essential fatty acids and other metabolic disorders. Adult given intravenous nutrition for more than two weeks, the liver biopsy can show liver steatosis and periportal cholestasis. Hepatic steatosis most vulnerable to the granting of a large number of glucose infusion rate over the liver oxidative capacity, resulting in increased synthesis of liver fat. Insulin and glucagon concentrations, especially in the portal vein insulin / glucagon ratio increases, is a key factor leading to fatty liver. Reasonable to give intravenous nutrition types, early resumption of oral intake of food or tube feeding diet, appropriate or necessary to increase with choline phospholipids (Essentiale) drugs such as parenteral nutrition to help prevent occurrence of fatty liver.

On how to prevent post-surgical patients with fatty liver

Intestinal diversion surgery, treatment of obesity, gastroplasty, biliopancreatic diversion surgery and extensive small bowel resection surgery may also cause fatty liver, increased liver fat deposition often occurred in the 6 months after surgery, after decreasing until the diversion surgery 2 ~ 3 years. It is primarily a passive use of fatty acids in adipose tissue, therefore, to these patients the blood essential amino acid content also decreased with protein-energy malnutrition, lack of similar findings, bacterial toxins and acid stones may also play negative role, perhaps interpretation associated with liver necrosis and fibrosis. Re-intestinal anastomosis to restore normal intestinal direction, and added essential amino acids, hepatic fat accumulation can subside.

In addition, post-surgical patients with high-fat, high-calorie diet, and limit activities, can cause short-term significant increase in body weight and lead to fatty liver. Therefore, the postoperative nutritional supplements should not over-appropriate exercises as soon as possible and postoperative care, to maintain smooth stool to facilitate the physical restoration and maintenance of ideal body weight, thus preventing excess nutrients such as fatty liver disease from occurring.

In addition, to control the intake of alcohol and dinner, eat more vegetables, fruits, dairy products, soy products; amount of fish, poultry, eggs, lean meat, Eat less fat and animal fat.

Formation of fatty liver is closely related to diet and living habits, prevention of fatty liver should be noted that to develop good habits.

The most important is to control drinking. 90% -95% of alcohol metabolism through the liver, usually per kilogram of body weight per hour, 60-200 mg of alcohol metabolism require 3-10 hours after the body to clear out all of the alcohol. Frequent drinking, the liver burden too heavy, even if the alcohol does not exceed the daily limit, they will endanger the health of the body especially the liver, so not only to drink less alcohol, but also dilute drink. Alcohol consumption (the number and frequency) determine the risk and extent of liver damage. More women than men suffer. Drinking a few years of women, alcohol consumption per day up to 19 grams of pure alcohol (about 182 grams of wine, 364 grams of beer, whiskey 56 grams), can cause liver damage; drinking a few years men, alcohol consumption per day up to 56 grams of pure alcohol consumption (560 grams wine, 1120 grams or 168 grams beer, whiskey) can cause liver damage. Nevertheless, the liver damage caused by alcohol consumption should also consider individual differences.

It should be reminded, now that people are often fond and after going to a cup of tea, this is not conducive to the prevention of fatty liver. Do not drink tea immediately after everybody eats meat’s. Tea contains large amounts of tannic acid with the protein synthesis of the target with a suction convergence acid protein that can slow down the intestinal tract motility, likely to cause constipation, an increase of toxic substances toxic effects on the liver, causing fatty liver.

In addition, regular diet should be quantitative, in particular, to control the dinner intake, in order to account for 30% of the total day is suitable; nutrition should be balanced, food arrangements should be diversified, it is best to cereal-based; eat more vegetables , fruits, dairy products, soy products; eat the right amount of fish, poultry, eggs, lean meat, Eat less fat and animal fat. Of food intake and physical activity to balance and maintain smooth stool, maintaining appropriate body weight; adhere to physical and reasonable exercise to increase the decomposition and consumption of liver fat, fat content decreased, in favor of the reversal of fatty liver, improving liver function; if lipid , blood glucose increased, use of drugs control high blood lipids and diabetes mellitus.

As our standard of living rising, more and more “rich man’s disease” appears in the people around us. Little more than moving the work to sit, eat or drink in social activities, so a lot of people, especially middle-aged growing phenomenon of excess nutrients, fatty liver is one of them. According to the data show that the prevalence of fatty liver in climbing, school-age population prevalence of about 10%, whereas in white-collar crowd, there are up to 30% of those suffering from varying degrees of fatty liver.

Under normal circumstances, a healthy adult liver, the liver fat content does not exceed the total weight of 4% to 5%. Because the liver is the body’s “chemical factory” and turn the food we eat into the classification of re-processing of fat in food processing through the liver cells can be turned into energy, support the person’s normal activities. The liver itself is not stored in fat, but if for obesity, malnutrition and other factors could upset the balance of liver fat metabolism, and continuously into the liver, fat can not be effectively addressed and the backlog in the liver cells, liver cells to make ultra-long load of work, the long run, liver problems may occur.

From the clinical point of view, once the liver fat content than normal standard limit of 5%, it can be clinically diagnosed as fatty liver. When the liver weight of its fat content accounted for 5-10% when mild fatty liver, 10-25% moderate fatty liver, 25-50% was severe fatty liver.

■ Fatty liver is a hidden “killers”

The mere existence of an excessive amount of fatty liver is not a serious problem, but as the disease worsened more and more fat cells, liver cells, the normal work will be affected, or even necrosis, so that the surrounding fibrous hyperplasia of the liver cells, a partial liver fibrosis. According to statistics, fatty liver, liver fibrosis into the probability of up to 25%, which has about 2% to 8% of patients developed into a complete whole liver fibrosis, or “cirrhosis.”

In the United States, cirrhosis of the liver in the 45-65 year-olds has been routed to the third cause of death, behind heart disease and cancer. With advanced cirrhosis of the liver will lead to vomiting blood, brain dysfunction, until life-threatening. Fatty liver is hidden in our midst, “killers”, the majority of patients with fatty liver do not have any particular feeling uncomfortable, and only in very rare cases there will be jaundice, nausea, vomiting, pain and other conditions, they are easily overlooked .

■ B super-results are not necessarily accurate

People’s Liberation Army 306 Hospital, Hepatobiliary Surgery Director Zhang’s introduction, according to a medical examination before the B-post, many of whom were doctors had told fatty liver, it would be very nervous. In fact, no need to be so serious, because the B-to make the results of fatty liver is not necessarily accurate diagnosis of fatty liver in addition to B-ultrasound, but also must have a blood lipid examination, including cholesterol and triglycerides increased, otherwise, unable to reach suffering from fatty liver diagnosis. If the lipids in the target is not very high, then most likely have not yet developed into a fatty liver, if still somewhat worried about the suspect got fatty liver, it is best to be holding the test results to identify the doctor.

If fatty liver in early stage, the best treatment is not a medicine, but rather adjust their habits to shut this off. Director Zhang that, for the early fatty liver, it is best to use diet to treat first. First, is not drinking, especially alcohol abuse. Secondly, we must pay attention to low-fat diet in their daily lives, eat less meat, animal fats and fried foods. Again, should increase aerobic exercise, if they can insist on a 40-minute bedtime each day walking, the body will help.

In strict accordance with such a personal demand to live three months later for review, if the situation has been reduced, also reducing blood lipids, then the description of the body problem is caused by bad living habits, the usual attention to correction, we can reduce fatty liver risk. If it still does not change, you can under the guidance of a doctor taking a number of cholesterol-lowering drugs. Fatty liver is a reversible early lesions, as long as early intervention to impose a strong and sustained, we will get rid of fatty liver is entirely possible the long-term trouble.

Clinical study found that when nutrient intake can not meet the body needs, it will affect the apo-protein and phospholipid synthesis, leading to lack of lipoprotein generated. At the same time, increased glucocorticoid secretion, a large number of free fat released into the blood, more than transport capacity of lipoprotein deposition in the liver, it will lead to malnutrition, fatty liver disease. This disease with other causes of fatty liver caused by the same.

Some experts point out that nowadays many beauty-conscious woman to lose weight using diet approach, many children are fussy eaters like the partial eclipse, which will be laying the seeds to malnutrition, which gradually lead to fatty liver. Therefore, correcting bad eating habits, dietary reasonably take is to change the malnutrition, the key to prevention of fatty liver.

Such as the intake of fat-free foods, fatty acid and amino acids from the carbohydrate synthesis of precursor substances, excessive intake of carbohydrates can also increase insulin secretion, to promote sugar into fat.

Appropriate intake of patients with chronic hepatitis and normal amount of protein, carbohydrates and fat, but should be selected vegetable oils rich in unsaturated fatty acids. Obesity and overweight patients with fatty liver should be initiated to control your eating, daily until 1674-3348 coke, near coke discharge gradually to 4186-6279, depending on their original level of physical activity to avoid serious negative nitrogen balance. In order to avoid high uric acid can also be an appropriate daily plus methotrexate clothes do not look askance 1oo-300 mg alcohol and to encourage drinking. In addition; should exercise training, 2 hours walk 12 km to reach the purpose of Dietary Fat Reduction.

Soba effects on blood lipids and fatty liver in animal experiments show that the soba of rat model has lipid-lowering effect of high blood lipids. The results showed that: Soba group than in the control group decreased blood lipid and have statistically significant difference (P <0.o1); Soba group lowering blood cholesterol than the standard face significant difference between groups