Indian Fatty Liver Diet Plan Case Study in Pune, India
In India, Fatty liver syndrome has become extremely common nowadays. And this is especially among young working adults in cities like Pune, Mumbai. These adults have problems like irregular meals, stress, and long sitting hours.
At Balanced Bowls, Pune, we received such as a case of Grade-I fatty liver patient in Pune. It was an early warning sign that the patient body was struggling with metabolism, digestion, and fat processing. This blog is a real case study about that fatty liver patient.
The patient was 32-year-old professional from Pune, India. He had a hectic travel-based job and irregular eating patterns. Our head dietitian in Pune – Dt. Ria Hawle, had identified that his gut health was the first thing that needed attention.
In this Indian Fatty liver diet plan case study, we will walk you through how his journey of fatty liver reversal took place at Balanced Bowls, Pune.
We will share you how our process of customized fatty liver diet plan works. We will show you the exact pictures of meal plates our client has ate. With this case study, you will understand how a balanced diet works more than a medicine towards curing any disease. So, let’s get started.
Fatty Liver Patient Profile in Pune, India
Below is the profile of the patient. You can also co-relate these details with you if you are also suffering with fatty liver problem in India.
- Name : Mohammad (Name changed for privacy purpose).
- Age : 32 years
- DOB : 17-03-1993
- Hometown Place : Hyderabad, AP
- City located : Baner, Pune
- Community : South Indian
Anthropometric Details
- Height : 169.5 cm
- Weight : 86.4 kgs
- IBW : 62.7 kgs
- TBW : 77.7 kgs [- 15 kgs]
- BMI : 30.3 kg/m2 [Obese Class 1 (Moderate)]
- Fluid Intake : 2 – 4 Litres per day
- Known Allergies : None
Work Profile :
The client had a hectic travel schedule. So, it was difficult for him to follow our fatty liver diet plan 100%. But, the magic happened. Read further 🙂
- Business Development
- PAN India Travel Job
- 9 am – 6 pm
- 4 years in pune
- Once in 10 days traveling required [once a month]
- Rough and tough field job
Here's Our Patient
Medical history of the Patient
Below notes are taken as a part of our onboarding process at Balanced Bowls. This information is crucial for crafting a diet plan for curing your problems.
- Dyslipidemia since 2022 – 2024 especially High LDL – cholesterol.
- UTI 2 month ago [suggests either a transient infection or a warning sign of weakened immunity or underlying metabolic issues].
- Secondary Hypogonadism since 2022 [ Low testosterone due to hypothalamic-pituitary dysfunction has led to fatigue, low libido, and possible muscle loss since 2022].
- Disturbed Sleep Patterns [Less sleep]
- Vitamin D and B12 Deficiency since 3-4 years [Chronic deficiency of vitamin D and B12 worsens hormonal imbalances, contributes to fatigue, poor metabolic health, and may aggravate obesity-linked secondary hypogonadism].
Family History
Mother and Grandfather [T2DM] – Type 2 Diabetes Mellitus
Diagnostics Done Before Start of Diet Plan
As per the diagnostic report shared by the client, there was a grade 1 fatty liver detected. Checkout what patient has written on WhatsApp.
Dietitian Ria had already detected that during her first consultation and the diagnostic report has confirmed that it’s a case of Fatty liver syndrome.
Biochemical Parameters Before Starting Diet Plan
Yes, we have to do multiple blood tests before you start the diet plan at Balanced Bowls, Pune. Again, this is to craft the clinically driven right diet plan. Not a guesswork here at all. Below are the pathology values of various tests of the patient.
| Biochemical Tests | Normal Range | June 2025 | Interpretation |
|---|---|---|---|
| HbA1c | 4.2 – 5.7 | 5.20 | Good sugar control |
| IR | < 1 – 1.5 | 2.1 | Mild insulin resistance |
| Sr. Globulin | 3 – 4.2 | 2.89 | Slightly low |
| SGOT / SGPT | 0.7 – 1.4 | 0.62 | Low (fatty liver) |
| Cr | 0.6 – 1.6 | 0.69 | Low protein intake / muscle mass |
| BUN | 8 – 20 | 9.6 | Low protein intake |
| HDL | 40 – 60 | 39 | Low (IR + fatty liver) |
| LDL | < 100 | 93.7 | Borderline |
| TC | < 200 | 155.8 | Normal |
| TG | < 150 | 115.4 | Normal |
| TC / HDL | 3.30 – 4.40 | 3.99 | Moderate |
| TLC | 4 – 10 | 10.6 | Mild inflammation |
| ALC | 1 – 3 | 3.13 | Mild inflammation |
| MPV | 7 – 9 | 10.5 | Mild inflammation |
| FSH | 1.27 – 19.26 | 2.55 | Low-normal |
| LH | 1.24 – 8.62 | 1.90 | Low-normal |
| LH : FSH | 1 | 0.74 | Secondary hypogonadism |
| Cortisol | 6.6 – 22.6 | 17.08 | Normal |
| Total PSA | 0 – 4 | 0.88 | Normal |
| F. Insulin | < 5 | 9.70 | Mild IR |
| Vitamin B12 | 211 – 912 | 372 | Needs improvement |
| Vitamin D | 30 – 100 | 39.6 | Needs improvement |
| Total Testosterone | 1.98 – 6.79 | 3.30 | Low-mid range |
| SHBG | 18.3 – 54.1 | 17.40 | Low (IR + obesity) |
Medication & Supplements Before Diet Plan
We need to know what other medication and supplements you are currently taking. This helps us as an input to your diet plan. As we go further in our diet journey, we will ask you to alter/stop taking these medications and supplements.
Below are the current supplements/medications of the fatty liver patient.
- Limcee 500 mg 0-0-1 [Currently taking]
- 2 scoops whey protein Isolate
- Pre workout powder
- Ashwagandha
- Multivotamin OD [Carbamide Forte]
- Psyllium husk BD
- Melatonin Supplement for sleep
Dietary Assessment done by Dietitian Ria Hawle
We need to know what you currently eat, how you eat, at what times. This is to know your habits better. Below are the notes taken for the patient by our Fatty liver expert dietitian in India – Dt. Ria Hawle.
- Diet high in refined carbs (white rice, bread) and low in fiber and healthy fats → contributing to insulin resistance (IR 2.1), Grade 1 fatty liver, low HDL (39), and low SHBG (17.4).
- Excess carbs promoting hepatic fat accumulation and reducing testosterone bioavailability. Physical inactivity and stress further worsening insulin sensitivity, lipid profile, and hormonal balance.
- Daily calorie intake (average) = ~3200-3500 kcal/day
The high intake comes mainly from:
- Large rice portions
- Frequent chicken with gravy (often oily / calorie-dense)
- Cheese, bread, and added fats
We found that below nutrients are needed for the patient -
| Nutrient | Why Needed in This Case | Best Sources (Simple Options) |
|---|---|---|
| Protein | Supports liver repair, testosterone production, reduces insulin spikes | Boiled eggs, curd, buttermilk, roasted chana, paneer, moong dal, sprouts |
| Omega-3 fats | Improves HDL, reduces liver fat, lowers inflammation | Walnuts, chia seeds, flaxseeds, small portions of fish (if non-veg) |
| Fiber (soluble + insoluble) | Supports gut health, lowers insulin resistance, improves lipids | Oats, whole fruits (apple, guava, pear), vegetables (lauki, tinda, bhindi, palak) |
| Vitamin D | Supports testosterone function, immunity | Sunlight exposure, fortified milk (if used), supplement if advised |
| Zinc | Needed for testosterone production, immune health | Pumpkin seeds, cashews (small qty), roasted chana, whole grains |
| Magnesium | Improves insulin sensitivity, reduces stress | Pumpkin seeds, almonds, green leafy veggies |
| B-complex (esp. B12) | Supports energy, mood, nerve function | Eggs, curd, fortified cereals (if used), supplement if levels low |
| Choline | Helps reduce liver fat | Eggs (yolk), peanuts, small fish (if eaten) |
| Antioxidants (Vit C, E) | Reduce liver inflammation, improve insulin function | Amla, lemon, orange, guava, capsicum, tomatoes |
| Probiotics | Gut health, reduce bloating | Curd, buttermilk, homemade kanji (optional) |
Patient had no hope in the beginning 🙂
The patient was not hopeful about the diet plan. He didn’t believe fully that diet will help. He was worried about this hectic travel schedule. Checkout what he wrote to Dietitian Ria Hawle.
Fatty Liver Diet Chart Planning by Dietitian Ria Hawle
Now, we have got his blood reports, his details about medications and his current eating habits. We will now use this to craft a right customized fatty liver reversal diet plan. No guesswork here. Its based on science of clinical nutrition and dietetics.
Diet Plan name – Fatty Liver & Gut Reset Diet Plan
- Symptom tracking done on daily basis
- The plan was based on above nutrients and foods mentioned in the table
- Focused on Gut health, anti – inflammatory approach
- Exercise introduced : 45 mins brisk walk [Intermittent walk] + 1 full body workout [1 set – 20 reps] + 30 mins post meal walk for better digestion / calf raises 5 mins [But no workout done by client entire in 3 months]
- Supplement added : Vitamin D 60k IU once a week for 3 months
- Personalised dietary supplement started for Fatty Liver for 2 months
- Client had a traveling job 15 days in a month, yet achieved this result.
- Personalised North indian Traveling guide e-book was provided to him during the program
- Seperate Traveling diet planned for him – i will share a copy of the same with you
- Client meal pics will share
- Client full length pics not shared with us
- Will share his testimony
- Client has not repeated his blood work and his sonography report – so not accounted
Approach of Our Fatty Liver Indian Diet Plan
We began by focusing on gut reset through food sequencing, mindful eating, and improved digestion — instead of restrictive dieting. His plan was completely customized to:
- Improve gut motility and reduce post-meal fermentation.
- Balance meal timing and food combinations
- Support bile flow and liver function naturally
- Address stress-related gut responses
- Encourage natural fat metabolism through consistent, balanced meals
- No supplements or medications were used — only diet and lifestyle changes.
Key inclusions we have made in his diet plan:
- Anti-inflammatory, high-protein gut-reset diet
- Symptom tracking on a daily basis
- Personalized travel-friendly diet plan
- Natural supplements for gut and liver support
- Mindful eating & circadian balance
What Dt. Ria Hawle has to say ?
Even with limited workout and frequent travel, Mohammad’s transformation reflects what consistency in mindful eating and gut-focused nutrition can achieve. His journey is a testament that true fat loss begins with internal healing.
When this client first joined the Balanced Bowls program, his primary concern was not just weight — it was his constant post-meal bloating, gas, and flatulence. He also noticed progressive abdominal fat gain and mental fatigue that were directly tied to his poor digestion.
— Dt. Ria Hawle
Meal Pictures of Indian Fatty Liver Diet Plan
Bhakari with Dal & Beans Sabji
The fatty liver diet plan meal plate is a combination of lean protein (Dal) and complex carbs. This ensures a slow, sustained release of energy and helps in addressing afternoon hunger pangs.
This also helps to support better blood sugar control for liver health.
This balanced plate has helped our fatty liver diet plan patient to improve his insulin sensitivity. It works by providing slow-digesting carbs, plant protein, and high-fiber vegetables.
Dalia Khichdi with Flaxseeds Buttermilk
The Daliya khichdi meal during fatty liver diet plan helps to provide steady energy and high fiber. This has helped our patient to keep his insulin levels stable.
Such a meal also help to support gradual weight loss and that too without triggering any food cravings.
Flaxseed buttermilk and the raw salad helps to sooth his gut, reduced acidity, bloating, and constipation. All this will help his digestion reset and reduce abdominal fat over time.
Breakfast, Mid Morning & Afternoon Cravings Options
So, we take care of all your cravings. Let it happens at any time of day. Be it morning breakfast, mid morning snacks, or post lunch afternoon cravings, we have a healthy option for you.
Recipes are crafted by Liver specialist dietitian Dt. Ria Hawle. Below are some photos of such dishes in this Liver health diet plan in India, Pune.
Patient's Review After Fatty Liver Diet Plan in Pune
Conclusion of Fatty Liver Diet Plan in India Case Study
- Gut Health Comes Before Weight Loss:
His case proved that weight follows wellness. Once his bloating and gas reduced, his metabolism improved naturally, leading to steady fat loss — without counting calories. - Bloating Isn’t Always About Food Quantity:
The issue wasn’t overeating but wrong combinations and timings. Simple tweaks like food sequencing and improving meal gaps worked better than any restrictive diet. - Mindful Eating Improves Hormonal Balance:
By addressing emotional eating and afternoon cravings, we helped regulate blood sugar levels, which in turn improved mood, motivation, and sleep quality. - Liver & Gut Are Interconnected:
Though the client had Grade 1 fatty liver initially, we focused on supporting liver detox through gut restoration rather than targeting the liver directly — and the results showed up in his improved digestion and reduced water retention. - Consistency Over Perfection:
Even without workouts, supplements, or repeated blood tests, the client’s consistent dietary adherence and mindful practices led to visible, measurable progress. - Emotional Health Is Part of Gut Healing: As his digestion improved, his anger, irritability, and overthinking reduced. This reinforces the gut–brain connection — a calm gut creates a calmer mind.
- Habit change > diet change: His belief in discipline over diet was transformational — controlling food became an unconscious habit rather than a forced effort
Dt. Ria Hawle - Best Clinical Dietitian in Pune
Dt. Ria Hawle – a best dietitian in Pune is the driving force behind Balanced Bowls, brings a wealth of expertise and compassion to her practice.
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