How Long Does It Take to Reverse Fatty Liver Disease?

If you have been diagnosed with fatty liver disease, there is good news – the damage can often be reversed by making some lifestyle changes, particularly by abstaining from alcohol. But how long does it take to see those improvements?

Fatty Liver Disease and Alcohol Abstinence

Fatty liver disease, also known as hepatic steatosis, is a condition where excess fat accumulates in the liver. There are two main types of fatty liver disease:

Alcoholic fatty liver disease (AFLD): Caused by excessive alcohol consumption
Non-alcoholic fatty liver disease (NAFLD): Caused by factors other than alcohol, such as obesity, diabetes, and high cholesterol

Regardless of the underlying cause, the good news is that fatty liver disease is often reversible, especially in its early stages. The key is to address the root cause, which in the case of AFLD, means abstaining from alcohol.

How Long Does It Take to Reverse Fatty Liver?

According to medical experts, if you have AFLD, abstaining from alcohol for as little as 2 weeks can lead to a significant improvement in your condition. After just 2-3 weeks of alcohol abstinence, the excess fat in your liver can start to dissipate, and your liver enzymes (such as ALT and AST) can return to normal levels.
However, it’s important to note that while the fatty liver itself may be reversed, the underlying liver damage caused by years of heavy drinking may not be fully healed. Prolonged alcohol abstinence, often for several months or even years, may be necessary to allow the liver to fully recover and prevent more serious conditions like alcoholic hepatitis or cirrhosis.
For those with NAFLD, the timeline for reversing fatty liver may be slightly longer, as the underlying causes (such as obesity or diabetes) may take more time to address. But studies have shown that making lifestyle changes, such as losing weight, improving diet, and increasing physical activity, can also lead to a reduction in liver fat and an improvement in liver health.