Can You Eat Sushi if You Have a Fatty Liver? [Complete Answer]

Sushi is a dish consisting of cooked rice served with raw fish and vegetables. While there has been no conclusive evidence of negative health effects of eating sushi for healthy individuals, people might have to stop eating the popular Japanese food if they have fatty liver disease.

Even though it does have fish – which is usually considered a healthy option for NAFLD – as well as some sort of vegetables, the main ingredient remains the rice.

And this is something that people suffering from a fatty liver should stay away from. We’ve talked more in depth about eating rice with a fatty liver – so you can find out more after you’re done reading this article.

Why you shouldn’t eat sushi if you have a fatty liver?

Sushi contains lots of proteins and vitamins which are considered helpful in rebuilding the liver.

However, sushi is not recommended for those with a fatty liver because of the high carbs content given by the rice used in preparing it. Depending on what sushi you eat, some might also have high amounts of unhealthy fats.

is sushi healthy with fatty liver
It might look yummy, but you should try to stay away from it!

Those with a fatty liver need to eat healthy foods in order to maintain a good quality of life and reverse their condition. This means avoiding foods high in sugar (or carbs), saturated foods, as well as processed ones.

You can read more about foods to avoid if you have a fatty liver.

However, there might be some potential workarounds (usually home-made) that would allow you to eat sushi if you really, really want to. In moderation, so don’t get your hopes up too much!

And those workarounds would involve you preparing the sushi with brown rice or whole rice, opposed to the traditional (and highly processed) white rice.

Sure, the taste will be different and even the consistency will be different… but it will be safer for the liver and therefore a good trade-off if you really need to eat sushi, despite your health problems.

How much rice should you eat?

Those with a fatty liver need to limit their daily intake of carbs. In order to do this, you should skip on eating white rice completely.

However, not all rice is bad, just as it is the case of eating chicken, for example, or even bread with fatty liver.

A study published in the journal Hepatology found that eating brown rice for three months reduces fat deposits in the liver by 30%.

Brown rice is a good substitute for white rice because it contains the whole grain – the fiber, germ and bran – which prevents constipation, is more nutritious and most importantly, is absorbed slower, not causing a major spike in sugar levels in our body.

White rice, on the other hand, is digested too quickly, causing a spike in blood sugar levels.

Also, when white rice is processed, most of the nutritional value found in brown rice (vitamins, minerals and fiber) is also lost.

So even though white rice and brown rice have a similar amount of carbs, the latter is the better choice for those suffering of a fatty liver (and craving for some sushi).

How to make sushi healthier for the liver?

sushi bites

Apart from switching the white rice to brown rice, which is the most important step one can take to make sushi healthier for fatty liver, here are a few other things that will make it a healthier option if you have NAFLD:

– Don’t use crispy tempura bits.

– Use tamagoyaki made with egg whites instead of the whole egg (if you want it in your sushi)

– Use high quality fish, with Omega 3 fats (which are healthy) – like Tuna or Wild Salmon.

– Eat more vegetables with sushi (a salad, for example, or use vegetables as a side-dish).

– Drink green tea instead of alcohol with your meal. Green tea is also known for its beneficial effects over the liver. Also, you should stop drinking alcohol if you have a fatty liver.

– Avoid adding high fat ingredients to your rolls (like Philadelphia cream cheese)

– Avoid adding ingredients that are high in sugar or have preservatives or are highly processed

How much sushi can you eat if you have fatty liver?

If you still want to eat sushi with a fatty liver, remember that moderation is key. Limit your intake to one time a week.

a piece of sushi
As with all foods consumed with a fatty liver, moderation is key.

I love sushi and I still had it (most of the times with white rice, I have to admit that too!) but sparingly – maybe once a month. And I ate way less than I would normally do.

So don’t overeat. It is advisable to limit your sushi intake to one roll (6-8 pieces) per meal, trying to take into account all the recommendations above to make it healthier overall.

If you can eat even less (and only sparingly), it’s even better. But never eat more!


Even though sushi should be avoided if you have a fatty liver mainly because of the high carbs contained in the white rice, you can still have it every now and then, in smaller amounts.

If you can make your sushi at home and replace the ingredients to heathier alternatives (mainly switching the white rice with brown rice), it’s even better.

Please share this article!

Leave a Comment