I have been told I have fatty liver, and you have identified the treatment for it: eating the proper diet and getting proper exercise. If changes with your diet are messing up your GI, see a registered dietician for advice on a proper diet strategy.
In my case because I battle chronic inflammation in the J Pouch inlet and lower neoterminal ileum, I eat a low carb low sugar diet, but such diets often compensate by not being as low as needed in fats which will accumulate in your liver. A bigger problem for me, than my diet, is my sedentary lifestyle and lack of exercise. I work a sedentary job with long hours, and ever since age 30 (I am now 60), I have continually struggled with my weight. I am now 5'5" and 200 pounds. I got down to a low of 170 around 10 years ago, but it's very, very hard for me to lose weight and the lack of exercise is the biggest problem in my mind. I am working on it. By nature I am a foodie, and I also can eat anything without "messing with my GI tract" (which is fine and inflammation is controlled with biologics). So it's incredibly hard. Fortunately I have kept my fatty liver more or less a "borderline" issue, much like my IBD, but my GI has remained on my case to lose weight and has identified the fatty liver as one reason why I need to do so. I am also borderline on my blood pressure, and have been told to keep it under 135/85 or else "your going on meds" per my PCP. I am so far managing to do that- this despite my PCP making me self test BP 2x daily for 2 weeks and accepting the results which were SLIGHTLY by averages for the 2 weeks over the 135/85 threshold.
I note that a lot of posters on this board, by their posts on what they want in their doctors, seem to overemphasize bedside manner and want to be continually assuaged that everything is wonderful and they are terrific patients, they are going to be fine, and everything is roses and rainbows. I don't want a "great bedside manner" at all. I want competence and expectations of results. I want authoritarian doctors who will task me with self help measures aimed at getting myself as healthy as possible. I want authoritativeness, stern orders and an expectation of obeying those orders. Those who want wimps as doctors and don't want to hear any warnings, but instead want platitudes and magic wands waved, can have those doctors. I want to get better as opposed to hearing the world is wonderful from Docs who are good at BS and small talk but weak technicians.
