{"id":1083,"date":"2016-03-10T16:16:47","date_gmt":"2016-03-10T21:16:47","guid":{"rendered":"http:\/\/henry.olders.ca\/wordpress\/?p=1083"},"modified":"2018-02-03T18:02:35","modified_gmt":"2018-02-03T23:02:35","slug":"treatment-of-fatty-liver-letter-submitted-to-canadian-journal-of-cme-2008-3-27","status":"publish","type":"post","link":"https:\/\/henry.olders.ca\/wordpress\/?p=1083","title":{"rendered":"Treatment of fatty liver (letter submitted to Canadian Journal of CME, 2008-3-27)"},"content":{"rendered":"<div>While catching up on my reading, I came across an item in &#8220;Consultant&#8217;s Corner&#8221; which piqued my interest, and I am writing to bring both your readers and your consultant up to date. In the Aug 2007 issue of the Canadian Journal of CME, a question was submitted by a reader (p32): &#8220;It seems like many of my patients are found to have a fatty liver on abdominal ultrasound. What is the best way to eliminate this liver fat and its associated risks?&#8221; Your consultant included in his response, &#8220;&#8230;I recommend weight loss to such patients, given the lack of any other effective therapies&#8230;&#8221;<\/div>\n<div><\/div>\n<div>Here are references to two articles on the treatment of liver steatosis with a low-carbohydrate diet. The Hollingsworth article suggests that the liver fat loss is rapid and exceeds the loss that could be expected from weight reduction alone.<\/div>\n<div><\/div>\n<div>One of my medical school classmates, a liver transplant specialist, assures me that when potential donors are found to have fatty liver on workup (unfortunately, a frequent finding), their program recommends a low-carbohydrate diet. This approach has led to a gratifying reduction in liver fat in some who then go on to donate.<\/div>\n<div><\/div>\n<div>Browning JD, Davis J, Saboorian MH, Burgess SC. A low-carbohydrate diet rapidly and dramatically reduces intrahepatic triglyceride content. Hepatology. 2006;44:487-488.<\/div>\n<div><\/div>\n<div>Hollingsworth KG, Abubacker MZ, Joubert I, Allison ME, Lomas DJ. Low-carbohydrate diet induced reduction of hepatic lipid content observed with a rapid non-invasive MRI technique. Br J Radiol. 2006;79:712-715.<\/div>\n<div><\/div>\n<div><\/div>\n<div>Here is the response from the Consultant: &#8220;<span style=\"font-family: Arial;\">A low carb diet (with associated weight loss) might be effective, but the studies referenced don&#8217;t look at the important, clinical outcomes (which would be reduced liver fibrosis, cirrhosis, etc.)&#8221;<br \/>\n<\/span><span style=\"font-family: Arial;\">Dr. Mark Borgaonkar<br \/>\n<\/span><\/div>\n","protected":false},"excerpt":{"rendered":"<p>While catching up on my reading, I came across an item in &#8220;Consultant&#8217;s Corner&#8221; which piqued my interest, and I am writing to bring both your readers and your consultant up to date. In the Aug 2007 issue of the Canadian Journal of CME, a question was submitted by a&hellip; <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[87],"tags":[116,384,383,385],"class_list":["post-1083","post","type-post","status-publish","format-standard","hentry","category-letters","tag-diet","tag-fatty-liver","tag-liver-steatosis","tag-low-carbohydrate-diet"],"_links":{"self":[{"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/1083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1083"}],"version-history":[{"count":3,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/1083\/revisions"}],"predecessor-version":[{"id":1086,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/1083\/revisions\/1086"}],"wp:attachment":[{"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/henry.olders.ca\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}