The most effective treatment for fatty liver disease starts with lifestyle modifications. Losing 5–10% of body weight can significantly reduce liver fat and inflammation. A healthy, balanced diet that limits sugar, refined carbohydrates, and saturated fats is key, along with regular exercise—at least 30 minutes a day, five times a week. For those with metabolic syndrome, controlling blood sugar, cholesterol, and blood pressure is also critical. In certain cases, medications such as vitamin E, pioglitazone, or GLP-1 receptor agonists may be prescribed under specialist supervision. Avoiding alcohol completely is strongly recommended for all patients with fatty liver disease. Long-term follow-up with a liver specialist helps track progress, manage risks, and ensure liver function remains stable.