While Spirulina has antioxidant properties, avoid adding it without consulting your hepatologist. Some Spirulina supplements can be contaminated with microcystins (toxins) that can worsen liver damage, especially in severe Grade 3 fatty liver. It may also interact with your herbal tonic. For dietary changes, adopt a Mediterranean diet: strictly limit processed sugars, refined carbohydrates, and alcohol. Focus on high-fiber foods, lean proteins, and healthy fats like olive oil. Achieving gradual weight loss (7-10% of your body weight) is the most effective medical strategy to heal your liver. Always prioritize prescribed treatments over self-medication.