Read your report. Understand your numbers. Reverse the fat before it becomes scarring.
Nearly four in ten Indian adults have fat in their liver, and most of them were handed a one-line ultrasound impression and the words “lose some weight”. This 37-page playbook takes the sentence apart: what grade 1, 2 and 3 actually measure, why a normal ALT proves nothing, how to compute your own FIB-4 in four minutes, what CAP and kPa on a FibroScan mean, what to eat when you cook Indian food every day, which medicines are genuinely approved in India in 2026, and why the second most common cause of liver injury in this country is a herbal product.
Get Your Copy →Written for the person holding the report, not for a doctor
“Grade 1 fatty change” on an ultrasound done for something else entirely, and no explanation of whether it matters. Chapter 1 and Chapter 6 answer that in about twenty minutes.
Two in three people with type 2 diabetes in India have fatty liver, and 60 to 85 per cent in Indian cohorts. Chapter 9 shows you where you sit and what to do this month.
Chapter 21 gives the monitoring calendar, Chapter 22 the red flags that mean a hospital today, and Chapter 24 what the tests cost and what insurance will and will not pay.
A vegetarian household that eats rice, with one person on a “liver diet”. Chapter 11 and Chapter 13 rebuild the thali for everyone, with portions, menus and eating-out rules.
Six things that stop being confusing by page 15
ALT, AST, GGT, ALP, bilirubin, albumin and platelets, line by line — and why a normal ALT does not clear you.
The free four-variable score Indian guidance recommends, with three worked examples and the bands that decide your next step.
CAP in dB/m for fat, LSM in kPa for scarring, the thresholds that matter, and how to prepare so the reading is real.
The ICMR-NIN 2024 numbers translated into rotis, katoris and teaspoons — plus six breakfasts and a seven-day menu.
What is actually approved in India in 2026, who each drug is for, and what the trials really showed.
CGHS test rates, free screening at Ayushman Arogya Mandirs, the IRDAI 36-month rule, and what a transplant costs.
25 chapters in six parts, then eight printable worksheets
What grade 1, 2 and 3 really measure, and why the grade tells you nothing about scarring.
NAFLD, MASLD, MASH, MetALD — the five cardiometabolic criteria and alcohol measured in grams, not pegs.
38.9 per cent of adults, 35.4 per cent of children, the thin-fat body, and the three measurements that matter more than weight.
The staging that predicts your future: 22–26 years at F0–F1, 9.3 at F2, 2.3 at F3.
Seven tests decoded, the AST/ALT ratio, and the four rules for reading your own results.
The formula, three worked examples, the four bands, and the cautions that stop you over-trusting it.
What each number measures, how to prepare, what makes a reading falsely high, and what it costs in India.
Hepatitis B and C, thyroid, coeliac, iron overload, autoimmune disease, medicines — the tests worth asking for.
Four rows and three lanes: green, amber or red, and what to do this month in each.
The 3, 7 and 10 per cent rules, your own arithmetic, and the four things not to do.
ICMR-NIN 2024 translated into a day of food, and the three rules that beat any named diet.
In order, with the evidence — and the seven pieces of advice not worth bothering with.
Six breakfasts, ten lunches and dinners, a seven-day table, snacks, and rules for biryani, dosa and festival days.
200 minutes a week, two strength sessions, the after-dinner walk, and a 12-week progression table.
The two-minute apnoea screen, shift-work rules, and an honest note on yoga.
One page, one focus per week, and the four habits that decide the outcome.
Saroglitazar, semaglutide 2.4 mg, resmetirom, pioglitazone, vitamin E — status, trial numbers, who they are for.
Liver tonics, detox kits and the Indian drug-injury registry numbers — plus a three-month holiday test.
Statins, paracetamol, NSAIDs, anti-TB drugs and thyroid tablets: what the guidance actually says.
Hepatitis A and B, and an honest answer to “can I have just one peg” at each fibrosis stage.
What to test at month 1, 3, 6, 12 and yearly — and the test not to repeat every quarter.
Eight symptoms that mean a hospital today, and why they belong in a book about a silent disease.
The one-shopping-trip kitchen reset, and what to do — and not do — about a child with a large waist.
Test costs, CGHS rates, Ayushman Arogya Mandirs, PM-JAY, the 36-month insurance rule and transplant costs.
What “reversed” actually means, the three possible outcomes, and the five-year view.
Part Six — designed to be printed, filled in and carried to your next appointment
Every number, four dates, one page — so progress is visible instead of remembered.
Ten steps, worked in order, with the cautions printed at the bottom.
Weekly weight, fortnightly waist, and what you changed that week.
Seven questions, counted in days per week, not in intentions.
Aerobic minutes, strength sessions and post-meal walks.
Every product, dose and prescriber — including the ones nobody asked about.
Last done, next due, where, and roughly what it will cost.
The questions that change a ten-minute consultation into a useful one.
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Everything you need to know before buying
Yes. Grade 1 is the most common report in India and the one people are given the least information about. Chapter 1 explains what the three grades actually measure and why the grade does not tell you whether there is scarring. Chapter 6 then shows you how to compute your own FIB-4 score in four minutes from a blood report you probably already have.
No. It is educational material that explains what your reports mean, what Indian and international guidance says, and which questions to ask. Every decision about diagnosis, scans and medicines belongs to a qualified doctor who has examined you. The book says so plainly on its first page and again at the end.
Every figure was checked against primary sources in November 2026, and the full source list is printed at the back of the book, with the specific study, guideline or notification behind each number. Sources include the ICMR-NIN Dietary Guidelines for Indians 2024, INASL guidance, the Ministry of Health's NP-NCD operational guidelines for fatty liver, the 2024 EASL-EASD-EASO clinical practice guidelines, AASLD guidance, the ESSENCE and MAESTRO-NASH trials, CDSCO approvals, CGHS notified test rates and IRDAI's 2024 insurance framework.
Yes. Chapter 17 sets out the real regulatory position in India as of November 2026: saroglitazar, approved by the DCGI for NASH with F1 to F3 fibrosis in 2020 and available only in India; semaglutide 2.4 mg, approved by CDSCO for non-cirrhotic MASH with F2 to F3 fibrosis in July 2026; resmetirom, US FDA approved but not marketed in India; pioglitazone and vitamin E with their trade-offs. It also states clearly that none of these is approved for simple fatty liver without fibrosis, and that in every trial the placebo group also improved on diet and exercise.
That is exactly who it was written for. Chapter 11 rebuilds the thali using the ICMR-NIN 2024 numbers: cereals at no more than 45 per cent of energy, pulses at 14 to 15 per cent, 400 g of vegetables, oil at 25 to 30 g, added sugar under about 25 g, salt 5 g. Chapter 13 gives six breakfasts, ten lunches and dinners, a full seven-day menu, snack options and rules for eating out, including biryani, dosa and a festival day. Rice is not banned; quantity, frequency and what it is eaten with are what change.
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Yes. Part Six is eight worksheets designed for printing: a report card to track every number over time, a FIB-4 calculator sheet, a 12-week weight and waist log, a weekly plate audit, a movement log, a medicine and supplement list, a test calendar and ten questions to take to your doctor.
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37 pages · 25 chapters · 8 worksheets · every figure traceable — start reading in 60 seconds.
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