Fatty Liver Foods & Diet

Apple Cider Vinegar: Does It Help Reversing Fatty Liver?

Many patients diagnosed with fatty liver are trying to find additional ways to boost their recovery and especially their weight loss (since being overweight is usually the most common case of NAFLD in the first place).

For years, apple cider vinegar and fatty liver reversal have been linked and in today’s article we’re going to find out everything about this: does apple cider vinegar help when it comes to reversing fatty liver?

And how to take apple cider vinegar to help your liver get back in shape?

The good news is that of all the natural remedies for fatty liver, ACV (apple cider vinegar) seems to work best for most patients, without any side effects and I consider it one of the best things you can add to your diet.

So we’ll start with the most important answer: yes, there is evidence that apple cider vinegar helps people lose weight and also reduce fat content in the liver, therefore helping reverse NAFLD. Great news!

How does Apple Cider Vinegar work?

There are a lot of benefits from taking ACV for NAFLD or at least incorporating it into your daily diet. There are several important things that this natural product helps with.

One place where I found them nicely explained and summed up is Doctor Oz’s website. Here’s a short list of its benefits in case you don’t want to read all the details:

  • reduces blood sugar levels
  • lowers insulin levels, encouraging fat burning
  • offers overall improvements to metabolism functions
  • reduces fat levels and actually burns fat

These are all great things for fatty liver patients, offering them an additional weapon to reverse their condition as fast as possible.

The good news is that, apart from people in various regions confirming the beneficial effects of apple cider vinegar, there are also numerous studies to back up these claims!

I personally started using ACV after being diagnosed with a fatty liver and used it exclusively and I managed to reverse my condition.

I am sure that it wasn’t the apple cider vinegar alone that did it, but it at least didn’t hurt (although I do believe it helped!)

How to take Apple Cider Vinegar for fatty liver?

First of all, before learning how to take ACV in order to help us get back to optimum health levels, it’s important to have in mind another thing: you should try to go for using organic, raw and unfiltered apple cider vinegar in order to make sure that you get the full package in terms of benefits.

The easiest way is to incorporate it into your daily diet: get a bottle of ACV and use it to prepare salad dressings at home.

Making it a part of your daily diet is an easy way to make sure that you get enough of it – but there are other options we’ll talk about in this article.

Until then, let me tell you that the best product in my opinion is Bragg’s Organic ACV which is available on Amazon (affiliate link). One bottle usually lasts about a month, so it’s really worth buying it, especially since it’s so good for your health, right?

Of course, you can choose any other brand, as they are all beneficial. Just make sure that you remember the most important things about ACV: it has to be raw and unfiltered, with no preservatives and ideally organic. The one I am using (recommended above) ticks all the boxes.

Organic is not really a must, but helps you know that you are getting the best possible product – and when we’re talking about your health, you should be picky!

Now that we know what to get, let’s find out how to use it!

Fortunately, there are multiple ways to use apple cider vinegar in order to help reverse your fatty liver and you can choose the one that is most suitable for you:

1. The most common method is that of taking it as medicine every morning, before eating anything: pour one tablespoon (around 15ml) in a glass with some warm water. Stir well and drink.

The taste is not amazing and this is the reason why some people add a bit of honey. I don’t recommend doing that, but if you can’t drink it otherwise, make sure you only add a bit (half a teaspoon at most).

Since vinegar of any type is pretty acidic, this will prove a bit difficult to take for those who suffer from acid reflux, gastritis or similar problems.

I have a workaround to share below, if you are in this category, so keep reading for a perfect alternative to drinking it!

2. An easier way to deal with it and make it seem even more natural to your body is drinking the same amount (one tablespoon in a glass of water) during meals. This way, you can easily gulp it down, then continue eating.

You can also reduce the water content to half a glass. I personally believe that this is a better option and some fatty liver experts recommend taking it this way.

3. Finally, you don’t have to use it as a medicine. Just incorporate it to your diet and make sure that you use the recommended amount (15ml or 1 tablespoon) every day.

The easiest way to naturally incorporate it to your diet is by using it as a salad dressing. It’s OK to use it together with extra virgin olive oil.

You can, of course, add it to veggies and any other foods/dishes that you think it works well with, as long as you don’t cook it in any way.

And this is how I did it, actually. After being diagnosed, I didn’t know about the possibility of taking it as a medicine every morning, but I did incorporate it into my diet and consumed it on an (almost) daily basis. I have since reversed my fatty liver, so it sure helped!

Are there any side effects?

First of all, we should start by saying that usually, ACV has no side effects. There have been some studies connecting it with potential damage to the teeth because of its acidic structure, but usually this is prevented by diluting it into water.

There are other studies connected to reduced potassium level and similar problems, but the number of cases is very small and the patients with problems have consumed very large quantities of undiluted apple cider vinegar (over 200ml per day), sometimes for years.

So from this point of view, we can consider it an extremely safe product which can be used on a daily basis with moderation (no more than 30ml or two tablespoons per day).

Also, it may interact with special medications, mainly medication for diabetics. People taking medication for diabetes and ACV might experience dangerously low blood sugar or potassium levels.

If you take pills for diabetes,you should talk to your doctor first before starting to use apple cider vinegar.

Alternatives to drinking Apple Cider Vinegar

If you don’t really like the taste of ACV or you have other problems that make it impossible or very difficult for you to drink it or even use it in salads or other foods, you do have options!

And the option is to take ACV in capsule form. This can be taken like a pill, with all the benefits of raw apple cider vinegar (or at least most of them) and makes it a lot easier for us to take it daily.

If you prefer the capsules, I recomend Apple Cider Vinegar Pure – the original (click the link to visit it). This product is made in the US, is gluten-free and has no GMOs in its composition. It has no additives and prepared in a FDA-approved facility.

In other words, it is the perfect alternative for those who can’t or don’t want to take it raw.

For how long should you take apple cider vinegar?

Although many people consider it a miracle and even medicine, this is not the case, in my opinion. So no, we shouldn’t consider it a magic pill that reverses fatty liver (that doesn’t exist!) But, judging the studies, it surely helps!

Apple Cider Vinegar is extremely beneficial and helps a lot when it comes to losing weight and fat and, as a result, reverse NAFLD, but it won’t do wonders over night and it won’t work if you don’t change your lifestyle and make the required changes to your diet.

Also, you should take it for at least 30 days and my recommendation is to keep it as an ingredient that you constantly use when cooking at home (salads are the best place to add your ACV naturally).

Once you get used to it, you should keep using it as often as possible: for example, every time you prepare a salad, use it as its dressing (or part of it).

I am still using it even after reversing fatty liver and it never hurt. Just make sure you don’t use more than the recommended amount (1 tablespoon per day, maximum two) – or if you are taking capsules, no more than the daily recommendations on the bottle.


After being diagnosed with a fatty liver back in 2014, I started doing serious research about it and I didn't stop until I reversed mine in just 1.5 years. I decided to share all my expertise and findings in these blog - all based on my personal experiences and tons of research. I also run a highly successful Fatty Liver-related Facebook Group (see the sidebar!) and moderate the Fatty Liver reddit.


    1. I am not sure, never heard it recommended – but this doesn’t mean it wouldn’t work. Sorry I can’t be more helpful here though.

  1. which time is best for taking apple cider vinegar for fatty liver ,Early morning i try but i feel it burning heart

    1. Then try to have it after eating something or during a meal. If you still have problems afterwards, it would be better to stop taking it or try it in capsule form. If this doesn’t work either, you should stop taking it and focus on your diet.

  2. I take two teaspoons a day mixed with two teaspoons of honey and diluted with a glass of distilled water. I drink it after lunch time. I am trying to reverse my fatty liver. Is my dosage okay?

  3. I take ACV with ginger and lemon tea and a spoon of honey………is this ok, I do it first thing in the morning 1 in the afternoon and 1 in the evening.

    1. I don’t think it’s bad, but I would still try to reduce the amount of honey used to maybe half a teaspoon (or even less if you have more tea during the day).

  4. I drink out 15 ml of ACV into a cup of Chamomille Tea every evening. I’ve actually come to really enjoy the taste.

    1. Unfortunately, you will have to discuss this with a doctor, I don’t know if the ACV has any effect over the vitamin…

  5. I have ugly fatty liver – c(Over weight) + Drinking Wine ( a lot) <– Try to cut back!
    I belive I have a combination of the above. Does Apple Cedar vinegar helpful in my case?
    I Using the vinegar from Costco.. – How long before you recommend to get the U-sound test to see the changes (If any)

    1. As long as it is apple cider vinegar, any brand would do well. The one from Bragg is best since it has that “mother” part, but any should help.

      When I had fatty liver, my doctors wanted to see me again for an ultrasound after 6 months after being diagnosed, then once every year. On my second visit, after running the tests, I learned that I no longer had a fatty liver so this can be done!

    1. I don’t see any harm in it as long as it doesn’t cause and stomach distress. I use a bit of raw honey because it has so many healing benefits and is low on the glycemic level, but add some stevia/erythritol blend to get it to a more palatable taste. I also add a bit of pink Himalayan salt to my ACV and water.

  6. Wow, I can’t help notice the ignorance! You don’t recommend honey, but raw honey has healing properties that heal the gut. Imagine that! Your liver didn’t get fatty all on it’s own, it started in the gut. Healing the gut is primary to healing the rest of the body. If you have gastric problems, acid reflux, etc. it’s not because of a fatty liver it’s because your gut is out of whack and by the way acid reflux is a result of NOT ENOUGH acid in the stomach, not too much which by the way gets fixed when you drink ACV. Changing the diet, removing sugar, grains and simple carbs is also necessary to heal the gut and thus heal the fatty liver. You can’t just treat one frailty in the body without addressing the root causes. Drinking ACV will help all the affected areas, but you can’t ignore bad eating habits and just take the ACV.

    1. I am not sure why you have the impression that I don’t recommend honey. It is one of the best sugar substitutes and I do recommend it on this blog. I actually consumed and still consume it on a daily basis. What I do think is that you shouldn’t add honey to the ACV and instead use it naturally as you eat your daily meals in order to keep the carbs intake low.

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