After being diagnosed with fatty liver disease, giving up bread felt impossible at first. Toast at breakfast, sandwiches at lunch – how was I going to manage fatty liver without one of my favorite foods?
You’re probably in a similar situation – but there’s hope!
Ideally, you should stop eating bread if you suffer from a fatty liver disease. Bread, especially white bread, is loaded with refined carbohydrates and empty calories – exactly what your liver doesn’t need.
However, there’s fortunately a bigger picture in play here, as there are all types of bread out there, some healthier than others – some completely safe for fatty liver disease, like KetoBreads. I told you there’s hope!
The Most Important Thing about Bread & Managing NAFLD/MASLD
If you are ready to make high-impact changes in your life and go all guns blazing against your fatty liver disease, then you should read just the two paragraphs below and stop there:
Bread in general – especially white bread – is packed with refined carbs, sugars, preservatives, and even chemical additives that won’t help your liver.
Therefore, if you can stop eating bread completely, you should. This is the healthiest way. Just do it and you will help your liver tremendously. End of story.
But…
Most people won’t find it that easy to stop eating bread, especially if their diet was heavily focused on eating it.
I personally didn’t stop eating bread completely and I still managed to reverse my fatty liver. This could mean that this is not – at least not in most cases – a thing you have to give up completely.
You will have to eat a lot less than you used to (unless you already eat tiny amounts) and you have to most likely switch to a different type of bread (NOT white) or bake your own at home.
Or, even better, go for a much safer version of bread by eating the so-called keto breads (which are Paleo diet friendly too and I love them!).
This is a low carb type of bread that remains yummy and fluffy without all the negatives of regular bread. Click here to check out KetoBreads and learn about this healthy alternative you have to try out!
The Problem with Bread and Fatty Liver
There are probably thousands of articles claiming that bread is the root of all evil in this world.
And although bread is definitely not the healthiest thing you can bring into your diet, it’s not really that bad for most people out there… as long as we talk about the healthier alternatives.
White bread is the most problematic of all types of bread because the flour used is highly refined and stripped of fiber and nutrients. This causes rapid spikes in blood sugar levels, putting stress on your liver and potentially worsening fatty liver symptoms.
White bread is often chemically bleached to achieve its pure white appearance. Not only does this remove essential nutrients (and it already has little nutritional value), but some chemicals used in bleaching are even banned in places like the European Union due to health risks.
Healthline has an insightful breakdown on flour bleaching, and it’s worth checking out if you want the full details.
On top of that, traditional bread contains gluten, increasingly viewed as problematic, especially for those with gluten intolerance or Celiac disease. If gluten causes issues for you, bread consumption is an obvious no-go.
Choosing the Right Bread for Fatty Liver
My golden rule was simple when it came to bread: one slice per meal, but no more than two slices per day. I gradually introduced more and more meals without bread entirely, and I never eat white bread.
Whole wheat bread is probably the easiest alternative (and closest to the taste of white bread). It is richer in dietary fiber, nutrients, and takes longer to digest. This helps avoid sharp spikes in blood sugar and is better, overall, than white bread.
Make sure to check out my recommended fatty liver-friendly recipes to make it easier for you to deal with the new lifestyle you should be living. And maybe mix in some potatoes every now and then.
Still, be cautious: many store-bought whole wheat breads contain hidden additives, sugars, preservatives, and sometimes even caramel coloring over white wheat just to give the impression that you’re eating healthier.
Always check the ingredient list! Authentic whole wheat bread will list whole grains as its primary ingredient without added sugars, additives, or artificial preservatives.
Here’s How Much Bread You Should Eat
Unless you are allergic to it, suffer from gluten intolerance or anything else that cuts bread off the menu, you can still eat a bit of bread, as long as you choose it carefully and have it in moderation.
First of all, reduce the portion size. Learn to eat without bread. Try to eat no more than 1 slice per meal and try to introduce as many meals as possible without any bread or similar products (crackers, cereal and so on).
Might sound bad for some, but it’s definitely better than stopping completely. And you get used to it.
Second of all, stop eating white bread! This is the worst type of bread you can have. Switch to eating whole wheat bread instead, or go for the even better ketobreads that I recommended already.
Just make sure that your replacement doesn’t have sugar (in any form like fructose syrup, molasses, or whatnot), additives, preservatives, and such (many gluten-free breads, for example, have them – and they are also high in carbs, like white bread).
Normally, bread should only have three-four ingredients: flour, water, yeast and a bit of salt although the latter is not a must. Various types of seeds or whole flour are OK too.
So never forget the golden rule of thumb: always read the ingredients list! You will be surprised to see how unhealthy store-brought bread generally is!
In most places, it’s very difficult to find bread with just the three recommended ingredients and no preservatives or additives.
This is why it might be a good idea to start making your own bread at home. It’s very easy and I guarantee that you will absolutely love the taste – no store bread can compete with the real taste of fresh bread made at home.
You can buy a bread machine if you don’t have time to do the mixing and baking yourself (it saves you A TON of time). Just add the ingredients there and the machine does the rest of the job.
This is actually the approach that we have taken and the entire family is happy.
We bought this bread machine (affiliate link) and we’re extremely satisfied. It’s an investment you should make too if you want to make sure that you eat the healthiest bread possible.
Even better, you can opt to make your own paleo friendly, keto bread. This is a type of bread (or anything like this, including pizza crust!) that is healthy and low in carbs. I recommend checking out the KetoBreads website for this.
Conclusion
In my personal experience, reversing fatty liver is about balance and smart choices. You can enjoy bread occasionally if you approach it mindfully, choosing quality over quantity and an overall healthy diet.
Yes, if it is doable, you should stop eating bread completely if you can only buy the low-quality ones from stores. But most people find it very difficult to quit and that’s OK too.
As I said, I haven’t stopped having bread and I still managed to reverse my fatty liver. If you cut bread off your diet and eat fries with bacon and round it up with a cake afterward, you’re not winning your battle!
And as always, this advice is based on my personal experience and research, but you should always consult your doctor for medical advice tailored to your situation.
I was diagnosed with a fatty liver back in 2014 and managed to reverse it by mid-2015. Since then, I’ve been studying it, continuously updating my knowledge with the latest scientific findings and practical approaches to give others the help they need to reverse their condition.
My approach to managing fatty liver is holistic, balancing scientifically-backed information with real-life, practical advice based on personal, direct experience.
I am also the admin of the Fatty Liver Support Group on Facebook and the Fatty Liver Subreddit.
I normally just two slices of Brown Whole Grain Bread now. During the first two months i stopped eating it.
I am still slowly recovering 🙂
I think this is the best approach – completely stop eating for at least a couple of months, then slowly add it back in small portions. Keep it up!
Thank you for this article. I’m from Asia and the only kind of flour I take now is chapathi made out of atta flour. Is this ok to take? I have fatty liver stage 1.
After searching on Google, I found out that this is still wheat flour (whole wheat, fortunately), so what is written in this article should stand for it as well.
My hepatologist told me to stay away from all types of flours, including whole wheat, since they are still all high glycemic and high carb, which turned your liver into fat to begin with. All types of carbs will turn into sugar in the liver, however, more slowly, but it still happens. If you’re not allergic to nuts, use almond flour instead, or if you want to try a little healthier try to bake with quinoa flour. I haven’t tried quinoa flour for bread yet, and I am allergic to nuts & coconut, so that will leave either of those flours out.
Keep in mind, even quinoa flour has 22 grams of carbs in only 1/4 of a cup! Check those labels! Remember, just because it sounds like a healthy flour, doesn’t mean it is. You need to check the glycemic index.
Your article is based on Fatty Liver, what about Cirrhosis, would it be the same recommendation ?
I think that cirrhosis is a much more serious problem and a stricter diet should be followed. I don’t think bread can still be had – but for this, it would be best to talk to a doctor.
Thanks for this info! How do you cut your homemade bread to make sure you’re not having too much? And so you can then put it away to not have it out on the counter calling your name?
Well, this is something you’ll get used to eventually. Cut just the amount of slices (1-2) that you are going to eat, don’t slice the entire bread. Then hide it :))