Grade 2 Fatty Liver

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Fatty liver is graded from Grade 1 to Grade 3. These grades are based on the percentage of fat accumulated in the liver cells. These grades help in a better understanding of the disease and are responsible for better treatment.

What Does Grade 2 Fatty Liver Test Mean?

Grade 2 fatty liver (Yakrit Roga) is also known as ‘Moderate Hepatic Steatosis’. It is the second stage of nonalcoholic fatty liver disease (NAFLD) that can impact your overall health. It occurs when a moderate amount of fat (Meda) accumulates in the liver cells. Many people may have it without knowing. 

In this grade, the liver may appear enlarged (hepatomegaly). This stage can affect the liver’s functional ability. Up to 33% to 66% fat accumulates in the liver in grade 2 and can be detected through blood and imaging tests, where the liver appears more inflamed than usual due to fat deposits, but liver function tests (LFTs) are often within the normal range in most of the cases. At this point, the accumulated fat can cause major inflammation, tissue damage, or scarring in the liver if not treated on time.

Grade 2 stage is also reversible but requires a lot of effort and time. Ayurveda can help reverse this stage by focusing on the root causes.

What It Can And Cannot Prove

Common Reasons For The Finding

The most common reasons for grade 2 fatty liver include: 

• Obesity
• Poor diet
• Sedentary lifestyle
• High blood pressure
• High blood sugar
• Abnormal cholesterol
• Alcohol consumption
• Insulin resistance or type 2 diabetes

How It Relates To Fatty Liver Disease

According to Ayurveda, Grade 2 fatty liver (Yakrit Roga) is associated with Medoroga (fat tissue disorder), which is categorised as a Santarpanajanya Vyadhi; a disease caused by overnutrition and metabolic disorder. Agnimandya, or weak digestive fire, creates Ama (toxins). Kapha dosha mixes with Ama, which corrupts nutrients and blocks Srotorodha (body channels). And when Pitta dosha gets involved with Kapha, it triggers the liver tissue and causes mild irritation or early inflammation.

Ayurveda can manage Grade 2 fatty liver with Ama pachana (detoxification), Srotoshodhana (channel clearing), and common herbs like Bhumyamalaki, Guduchi, and Arogyavardhini vati.

Can Grade 2 Fatty Liver Improve?

Grade 2 fatty liver indicates moderate fat accumulation, meaning up to 33% to 66% fat stored in the liver cells. This stage can often be reversed or improved significantly through serious lifestyle adjustments and medical supervision. In Ayurveda, the main focus relies on Deepana and Pachana to fix Agni (digestive fire), srotoshodhana (clear channel blockages), and balance Kapha and Pitta dosha. This stage can be treated with a healthy (Ahara) diet, vihara (lifestyle), herbs (like giloy, bhumiamalaki, kutki), and physician guidance and treatment. If you are diagnosed with grade 2 fatty liver, then consult today with Jiva’s health expert.

What To Review Next With A Doctor

Grade 2 can be reversible through strict guidance or a personalized lifestyle modification. These are the key topics to discuss with your doctor:

• Blood tests or LFTs (including ALT, AST, GGP)
• Metabolic health (including blood sugar and cholesterol)
• Medications and supplements
• Status of Agni and Ama (digestion and toxins)
• Dosha imbalance
• Dietary adjustments 
• Lifestyle plan

Monitoring And Follow-Up

Ayurveda suggests that monitoring and follow-up for grade 2 fatty liver need regular tracking of metabolic markers, Agni (digestive fire), and clinical progress. This helps in maintaining a healthy lifestyle:

• Regular assessments: Continue consultation with Jiva’s Ayurvedic physician to assess agni, appetite, bowel habits, and overall metabolic health.
• Modern monitoring: Ayurveda can maintain this stage with regular medical monitoring, including liver enzymes (LFT tests), imaging (ultrasounds or fibrosis), and metabolic parameters (blood sugar, blood pressure, or cholesterol).
• Dietary discipline: Reduce oily, processed, refined carbohydrate meals and add fresh, healthy, light, or easy-to-digest meals to your diet.
• Physical activity: Avoid a sedentary routine and work out regularly for at least 30 minutes. It helps to maintain excess Meda (tissue fat) and support metabolic health.
• Weight monitoring: Excess weight gain can be dangerous for the body; a slight weight reduction according to the doctor's advice and a healthy diet can be beneficial.
• Monitor Agni: Body changes like indigestion, heaviness, sleep disorders, or appetite loss may indicate imbalanced Agni and should be addressed.
• Herbs re-evaluation: To avoid long-term mineral toxicity, traditional formulas such as Triphala guggulu and Arogyavardhini vati should be periodically reviewed under Ayurvedic expert guidance. 
• Avoid self-medication: Ayurvedic medicines are prescribed by specialists, especially for a particular condition, and self-medication can lead to Vata and Pitta imbalance in the body.

Red Flags: When To Seek Medical Care.

Grade 2 fatty liver often occurs with mild symptoms, and certain signs should not be ignored. Seek Jiva’s Ayurvedic evaluation if you experience:

• Severe fatigue: Feeling exhausted even after taking proper rest.
• Jaundice: Yellowing of skin and eyes
• Fluid retention: Unusual swelling in legs, abdomen, or feet
• Systemic indicators: Constant high blood sugar, high cholesterol or high blood pressure
• Indigestion: Bloating after eating meals or a feeling of fullness. 
• Bleeding tendencies: Easy bruising or unusual bleeding from minor cuts. 
• Cognitive changes: Severe confusion, brain fog, difficulty in concentrating, or extreme sleep disorders.
• Severe abdominal pain: Sharp pain in the upper right side of the abdomen

• Vomiting blood or black stool: These signals need emergency medical care.

• Nausea: Mild nausea, especially after eating meals.
• Weight changes: Sudden weight changes, including weight gain and loss, can be a signal of Grade 2 fatty liver disease. 

References

Fatty Liver - StatPearls - NCBI Bookshelf

Nonalcoholic fatty liver disease: A clinical approach and review - PMC

Effect of Ayurveda interventions in non-alcoholic grade II fatty liver associated with obesity - A case report - PubMed