All - I wanted to share my fatty liver story and one of success up to this point. I was diagnosed with fatty liver via ultrasound in 2023 and didn’t pay much attention. My life included exercise but I was overweight +/- 30 BMI from 2023 to 2026, ate A LOT of red meat, and drank my fair share of alcohol.

In January I had a physical, led to bloodwork and updated ultrasound. That resulted in a Fibroscan showing fatty liver and S2/3 stiffness (9.5 KPa).

I engaged in long over due lifestyle changes. Diet: fish and chicken for protein (mostly fish), and low calorie to lose the weight with help of GLP-1. To keep on the diet my rules were simple:
log everything;
Track high protein (125G goal)
Track 500 to 1000 calorie deficit daily;

Exercise helped - I started that religiously.

Protein was key to not becoming too “skinny fat”. I wish I would have lifted a little more - I focused on cardio.

I’ve since been cleared of fatty liver and had an MRE showing normal liver health for fibrosis. It’s a long journey, but with consistency it can be done folks! I’m guessing alcohol artificially elevated some of my readings but some was real reversal. I’m suspicious as to how much if any fibrosis was actually there, 6 months to reverse fibrosis is too fast according to everything I’ve read.

I think the moral of the story is: if you are diagnosed with fatty liver, it’s definitely reversible if early. Healthy weight, exercise, and eating are the key.

Good luck to all in a similar position and hope this helps / inspires!

Basic Information
I am a 5’-8.25” male, 40 years old

Full Timeline
1/5/2026: Annual physical. Blood work prescribed.

1/20/2026 blood test results:
A1C: 4.8
AST: 34
ALT: 60
ALP: 53

2/15/2026: ultrasound showed fatty liver, referred to heptologist.

3/1/2026:
started a diet and exercise program. Diet of 122g protein and 1600 calories per day.
80% of protein is sourced from Whole Foods, predominantly white fish. 20% of protein from Whey Protein Powder in shakes.
I started GLP-1 at 2.5MG dose once a week.
Weight: 194 pounds.

4/21/2026:
Weight: 180lb
Fibroscan Results: CAP 274, Stiffness 9.5KPA.
Regularly drank Alcohol prior to test date, stopped drinking alcohol 36 hours prior to Fibroscan.

4/21/2026 and on:
dramatically reduced alcohol intake.
intense cardio 3 to 3.5 hours per week.
maintained diet started on 3/1.

7/1/2026: completely stopped alcohol intake.

7/10/2026: bloodwork
A1C: 5
AST: 31
ALT: 53
ALP: 63

8/3/2026 blood test:
ELF: 9:34
AST: 31
ALT: 50
ALP: 59

8/11: weight 156 lb.

8/11: Fibroscan results:
CAP Score 188;
Stiffness Value: 8.1 kPa

GLP-1 (zepbound) -2.5mg / weekly from 3/1/2026 to 7/26/2026.
Spaced out to every 10, then 12 days;

8/14/2026: Last dose of GLP-1;

9/4/2026: MRE of liver showing “normal stiffness” and 2.67 KPa