Managing fatty liver, poor liver function, high triglycerides, and bad cholesterol involves a combination of lifestyle changes, medical care, and symptom management.

1. Lifestyle Modifications

   • Follow a balanced diet low in saturated fats, refined sugars, and fried foods; include Indian staples like millets, dals, vegetables, and spices such as turmeric and fenugreek.
   • Engage in regular physical activity suited to your ability, such as walking or yoga, to help reduce liver fat and improve cholesterol.
   • Aim for gradual weight loss if overweight, as this can significantly improve liver health and lipid levels.

2. Medical Evaluation and Monitoring

   • Have regular liver function tests and lipid profiles to monitor your condition.
   • Consult a hepatologist (liver specialist) or gastroenterologist for expert assessment and tailored treatment.

3. Medications and Supplements

   • Statins like Rosubest (a cholesterol-lowering medication) may be prescribed to manage high bad cholesterol and triglycerides; these should be taken under strict medical supervision.
   • Omega-3 fatty acids from dietary sources like flaxseeds or fish oil supplements may help improve lipid levels but discuss with your doctor first.

4. Managing Back Pain

   • Get your back pain evaluated by a doctor to identify the cause and receive appropriate treatment, which may include physical therapy or pain relief medications.

5. Avoiding Liver Stressors

   • Avoid alcohol and medications that can harm the liver.
   • Control other health issues such as diabetes or high blood pressure, which can worsen liver function.

6. Regular Follow-up

   • Maintain ongoing follow-up with your specialist to adjust treatments and monitor progress.

If you want, I can explain dietary recommendations or medication details in more depth. Please consult your hepatologist or gastroenterologist to create a personalized plan.