It is generally not recommended to follow a strict keto diet for grade 2 fatty liver without medical guidance, as it may not always improve and could potentially worsen liver fat accumulation.

🩺 What this means for you

• A keto diet is very low in carbohydrates and high in fats, which can sometimes increase fat processing demands on the liver. For fatty liver, balanced diets focusing on weight loss through controlled calorie intake and nutrient-rich foods tend to be safer.
• Some studies suggest controlled carb reduction and weight loss improve fatty liver, but strict keto diets may pose risks such as increased liver fat or stress in some cases.

🏥 What to do next

• Consult a hepatologist (liver specialist) or a gastroenterologist to tailor a safe diet plan suitable for your liver condition.
• Consider a balanced diet that includes whole grains, millets, dals, fruits, and vegetables common in Indian cuisine, as these support liver health well.
• Discuss any medications you take for liver health, like liver-protective tablets, with your doctor before changing your diet.

If you want, I can explain how specific dietary changes can support liver health safely.