22 April 2026 Punjab Khabarnama Bureau : A very low energy ketogenic diet (VLED) may significantly reduce liver fat in individuals with MASLD, according to new research that highlights its potential as an effective dietary intervention. The study found that participants following this diet experienced a remarkable 77% reduction in liver fat, offering hope for better management of the condition.
MASLD, previously known as non-alcoholic fatty liver disease (NAFLD), is a growing global health concern. It is closely linked to obesity, insulin resistance, and metabolic disorders, and can progress to more serious liver conditions if left untreated.
The ketogenic diet, which is high in fats and very low in carbohydrates, works by shifting the body’s metabolism from using glucose as its primary energy source to burning fat instead. In a very low energy version of this diet, calorie intake is also significantly restricted, enhancing weight loss and metabolic changes.
Researchers observed that participants on the diet not only lost weight but also showed substantial improvements in liver health. The dramatic reduction in liver fat is particularly significant, as excess fat accumulation in the liver is a key driver of MASLD progression.
One of the mechanisms behind this improvement is the reduction in insulin levels. Lower carbohydrate intake leads to decreased insulin secretion, which in turn reduces fat storage in the liver. Additionally, the body’s increased reliance on fat for energy helps mobilise stored fat, including that in the liver.
The study also reported improvements in other metabolic markers, such as blood sugar levels and lipid profiles. These changes suggest that the diet may have broader benefits beyond liver health, particularly for individuals with metabolic syndrome.
However, experts caution that such diets should be undertaken under medical supervision. A very low energy ketogenic diet can be restrictive and may not be suitable for everyone, especially those with certain medical conditions or nutritional needs.
Potential side effects of ketogenic diets include fatigue, nutrient deficiencies, and gastrointestinal issues, particularly during the initial adaptation phase. Long-term adherence can also be challenging for many individuals.
Dietitians emphasise that while the results are promising, sustainability is a key factor. Transitioning to a balanced, nutrient-rich diet after achieving initial results is important for maintaining health benefits.
The findings also highlight the importance of early intervention in MASLD. Lifestyle changes, including diet and physical activity, remain the cornerstone of treatment. Medications are limited, making dietary approaches particularly valuable.
In India and other countries experiencing rising rates of obesity and diabetes, MASLD is becoming increasingly common. Public health strategies focusing on prevention and early management are essential to address this growing burden.
The study adds to a growing body of evidence supporting the role of dietary interventions in managing liver diseases. However, more research is needed to understand the long-term effects and to identify which patients are most likely to benefit.
Healthcare professionals recommend a personalised approach to diet, taking into account individual health status, preferences, and goals. What works for one person may not be suitable for another.
For those considering a ketogenic diet, consulting a healthcare provider or dietitian is crucial. Proper guidance can help ensure that the diet is safe, effective, and nutritionally adequate.
In conclusion, a very low energy ketogenic diet shows significant potential in reducing liver fat in MASLD patients. While the results are encouraging, careful implementation and long-term management strategies are essential to maximise benefits and minimise risks.
Summary
A very low energy ketogenic diet reduced liver fat by 77% in MASLD patients, showing promise as a treatment, though experts advise medical supervision and focus on long-term sustainability.