Many friends believe that reducing food intake, quitting alcohol, and exercising more can cure fatty liver disease, but in reality, it's much more challenging. Why is this the case? For an individual who is overweight or obese, achieving and maintaining a weight loss of 5%, let alone 10%, for over a year is a significant challenge that few manage to accomplish.

This requires that, for an individual who is overweight or obese with fatty liver disease, we provide a structured timeframe of three to six months to implement lifestyle changes. During this period, the focus should be on eating less, eating slowly, eating coarsely, and increasing physical activities. 

However, if the individual also has elevated blood pressure, increased blood glucose levels, heightened uric acid, or markedly increased triglycerides and cholesterol, and even significantly elevated liver enzymes (transaminases), medication becomes essential in addition to lifestyle changes.

For patients with fatty liver disease who also have elevated indicators such as blood pressure, blood glucose, uric acid, triglycerides, cholesterol, and liver enzymes, it is crucial not to delay treatment by waiting three or six months to see if lifestyle changes alone will suffice. Waiting this long could result in disease progression, making subsequent medical interventions less effective.

Certainly, adopting a healthy lifestyle is essential for individuals with fatty liver disease. However, we cannot rely solely on eating less and exercising more to cure the condition.