Fatty liver is best managed through lifestyle changes such as gradual weight reduction, avoiding alcohol, limiting high-sugar and fried foods, and engaging in regular physical activity. Your doctor may also prescribe liver-protective medicines such as silymarin or vitamin E if appropriate. Mild prostate enlargement is usually treated with alpha-blockers (e.g., Tamsulosin or Silodosin) or 5-alpha reductase inhibitors (e.g., Finasteride or Dutasteride), depending on symptom severity. Since you are already taking psychiatric medications, any new treatment should be started only after consulting your doctor to ensure safety and avoid drug interactions.

Silotime-D (Silodosin + Dutasteride) primarily acts on the prostate and urinary tract and generally does not have any direct harmful effect on the heart. However, it may sometimes cause a sudden drop in blood pressure and postural dizziness when standing up. Drego-D (Pantoprazole + Domperidone) is generally safe to take along with Silotime-D, but you should avoid sudden posture changes and report any palpitations, fainting, or persistent dizziness to your doctor.

The primary and most effective treatment for fatty liver disease with weight gain is lifestyle modification. This includes gradual weight loss (around 7?10% of body weight) through a healthy, low-calorie diet and regular physical activity. Herbal products like Liv-D 38 Tablet may provide mild liver support but are not a replacement for evidence-based medical treatment. You should consult a doctor for a proper evaluation and a personalised treatment plan. Based on your liver enzyme levels and ultrasound findings, the doctor may prescribe liver-protective medicines such as silymarin or vitamin E if appropriate.