My 13 year old has grade-1 fatty liver. What should I do?

Hi,

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All of these symptoms are suggesting metabolic-X syndrome. In the long run, if not controlled then there is a high risk of developing complications, like diabetes and heart problems. The best suggestion I can give is to see a good endocrinologist and follow up with him, as he needs to be tested for hormones like cortisol, thyroid, androgens.

Cut back on junk, not even once a week. It is poison for him.

Continue exercise, fast walking, not jogging. With this weight, jogging can be harmful for joints. Anti-cholesterol medications are usually started after 18 years of age, I would not recommend starting right away. Fatty liver grade 1 is totally reversible with weight management, I would suggest do caloric count per day. Do not let him take 2000 calories in a day, Everything more than that gets deposited in form of fat. Use more proteins than carbohydrates.

Repeat ultrasound liver in six months to see the resolution of fatty liver status.