ConditionsMetabolic / Hepatic
Metabolic / Hepatic⚡ High Priority

Fatty Liver / NAFLD

Gabriel treats NAFLD as reversible metabolic dysfunction, NOT permanent liver disease.

Root Causes

10 identified

Supplements

11 recommended

Lab Markers

12 to test

Treatments

5 modalities

Gabriel's Approach

Gabriel treats NAFLD as reversible metabolic dysfunction, NOT permanent liver disease. Root cause is insulin resistance and fructose metabolism. Protocol: 1) Reverse insulin resistance (therapeutic carb restriction, eliminate fructose), 2) Weight loss if overweight (5-10% loss reverses NAFLD), 3) Liver-supportive nutrients and herbs, 4) Reduce oxidative stress, 5) Heal gut, 6) Optimize choline, 7) Exercise (reduces liver fat independent of weight loss). NAFLD is COMPLETELY REVERSIBLE with proper intervention—can prevent progression to cirrhosis.

Root Causes

Insulin resistance (PRIMARY cause)
Metabolic syndrome
High fructose intake
Obesity (especially visceral fat)
Type 2 diabetes
High-carb, high-sugar diet
Sedentary lifestyle
Gut dysbiosis
Oxidative stress
Choline deficiency

Why Conventional Fails

Standard Treatment

No FDA-approved medications for NAFLD; Lifestyle advice: 'lose weight, exercise, Mediterranean diet' (often inadequate detail), Metformin (off-label—limited efficacy), Vitamin E 800 IU (recommended by some), Pioglitazone (diabetes drug, off-label—has risks), Liver biopsy to stage disease, Liver transplant (end-stage cirrhosis).

The Problem

No pharmaceutical treatment available (appropriately—this is dietary disease), lifestyle advice often insufficient ('eat less, move more'—doesn't address insulin resistance or fructose), low-fat dietary advice WORSENS NAFLD (high-carb diet drives liver fat), doesn't emphasize fructose elimination (key), doesn't test for insulin resistance aggressively, pessimistic about reversibility (but NAFLD is highly reversible with proper diet), waits for progression to cirrhosis before aggressive intervention.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicineChinese Herbal MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Fatty Liver / NAFLD

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Milk Thistle (Silymarin) 300mg 3x/day
  • Berberine 500mg 3x/day (insulin sensitizer)
  • NAC 1200mg 2x/day (antioxidant, liver support)
  • Alpha-Lipoic Acid 600mg 2x/day
  • Milk Thistle (Shui Fei Ji) — Protects liver cells and supports liver detoxification
  • Turmeric (Jiang Huang) — Reduces liver inflammation and fat accumulation
Get Essential Protocol

Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • SP Complete — Nutritional shake providing complete protein and whole food nutrients
  • DiGest Forte — Herbal digestive support for bloating, gas, and discomfort
  • Gastro-Fiber — Fiber blend supporting healthy bowel function and cholesterol levels
  • Free and Easy Wanderer (Xiao Yao San) — Smooths liver qi to improve liver function and fat metabolism
  • Two Aged Herb Decoction (Er Chen Tang) — Drains phlegm-dampness that manifests as fatty liver
Get Practitioner Protocol

Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
Get Complete Protocol

Standard Process + Matter peptides

Recommended Supplements

Milk Thistle (Silymarin) 300mg 3x/day
Berberine 500mg 3x/day (insulin sensitizer)
NAC 1200mg 2x/day (antioxidant, liver support)
Alpha-Lipoic Acid 600mg 2x/day
Choline 500mg or Phosphatidylcholine 1-2g/day
Vitamin E 800 IU (mixed tocopherols)
Omega-3 4g/day (reduces liver fat)
Curcumin 1-2g 2x/day
Vitamin D3 5000 IU
Selenium 200mcg
Betaine (TMG) 1000mg 2x/day

Key Lab Markers

Liver function tests (AST, ALT—elevated 2-4x normal in NASH)
GGT
Alkaline phosphatase
Fasting insulin and glucose (insulin resistance key)
HbA1c
Lipid panel (triglycerides often high)
Fasting insulin (optimal <5)
hs-CRP
Ferritin
Comprehensive metabolic panel
Liver ultrasound or FibroScan (measures liver fat and fibrosis)
Liver biopsy (if NASH vs NAFLD unclear—but trying to avoid)

Dietary Guidance

Low-carb or ketogenic diet (MOST EFFECTIVE for NAFLD—rapidly reduces liver fat), eliminate ALL added sugar, eliminate fructose (fruit juice, agave, high-fructose corn syrup—worst for liver), limit fruit (whole fruit OK in moderation—berries best), Mediterranean diet (if not keto), increase omega-3 foods, cruciferous vegetables, coffee (protective for liver—2-3 cups/day), green tea, avoid alcohol completely, increase choline foods (eggs, liver, fish), organic.

Lifestyle Factors

Weight loss if overweight (5-10% loss often reverses NAFLD), exercise critical: both aerobic and resistance training reduce liver fat independent of weight loss, quit smoking, avoid hepatotoxic medications (acetaminophen, NSAIDs chronically), improve sleep (poor sleep worsens insulin resistance), stress management, avoid fructose.

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Mindful Eating

moderate

Awareness of food choices, especially hidden sugars and fructose.

Stress Management

strong

Reducing stress that drives insulin resistance and liver fat accumulation.

Body

Exercise for Liver Health

strong

Regular activity reduces liver fat and improves insulin sensitivity.

Spirit

Body Acceptance Work

moderate

Healing relationship with body and food during health transformation.

Foods That Help

🥗Lemon
🥗Beets Detox
🥗Artichoke
🥗Garlic Detox
🥗Nac N Acetyl Cysteine
🥗Alpha Lipoic Acid

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