Fatty liver disease is a condition where fat accumulates in the liver, leading to inflammation and damage. There are several things you can do to manage and potentially reverse fatty liver disease:

1. Lose weight: The first line of treatment for fatty liver disease is usually weight loss through a combination of a healthy diet and exercise. Losing roughly 5-10% of your body weight can help resolve the condition.

2. Eat a healthy diet: Choose a healthy diet that is low in saturated fats, high in fiber, and rich in fruits, vegetables, whole grains, and lean protein. The Mediterranean diet has been shown to decrease fat in the liver.

3. Limit alcohol consumption: Avoid alcohol completely or limit your intake to a moderate amount. The amount of alcohol that is considered moderate varies depending on age, sex, and other factors.

4. Manage diabetes, cholesterol, and triglycerides: If you have diabetes, high cholesterol, or high triglycerides, work with your doctor to manage these conditions.

5. Exercise regularly: Aerobic exercise can help reduce fat in the liver and improve overall health.

6. Consider vitamin E and thiazolidinediones: Vitamin E and thiazolidinediones (drugs used to treat diabetes) may help patients with nonalcoholic steatohepatitis (NASH), a more severe form of fatty liver disease. However, these treatments are not for everyone and should be discussed with a doctor.

7. Avoid certain medications: Some medications, such as amiodarone, diltiazem, tamoxifen, and steroids, can contribute to fatty liver disease. Talk to your doctor about any medications you are taking.

Its important to work closely with your doctor to manage fatty liver disease and prevent further damage to your liver.