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I was diagnosed with fatty liver in June 2022. I never drank a day in my life. After the diagnosis, I cut out sugar. Went on the Mediterranean diet. Walked three miles a day. Lost 41 pounds. And on the morning of October 19th, 2024, at 4:17 AM, I ended up in an ICU bed at my local hospital, my wife of 36 years was told to say her goodbyes. I'm 58 years old. I cut out sugar completely on June 8th, 2022. Did the Mediterranean diet for two years and three months. Lost 41 pounds. Walked our golden retriever three miles every single morning before work, rain or shine. I did everything the consultant told me. I still ended up on a ventilator with my kidneys shutting down. I need to tell you what happened. Because every week I see men in the NAFLD forums β€” same age as me, same diagnosis, same "just cut carbs" advice from a doctor who spent nine minutes with them β€” and it makes me physically sick. If you're a man over 45 who got the fatty liver diagnosis, or someone you love got it, please read this whole thing. I know it's long. I know you're scrolling. I know you have things to do. Fourteen months ago I would have given anything β€” everything β€” for someone to tell me what I'm about to tell you. I went in for my annual checkup on June 9th, 2022. I felt fine. Better than fine. I'd just turned 56. I was still coaching my nephew's football team. I still mowed my own lawn. I thought I was healthy and honestly Linda did too β€” I'd never smoked, never been a drinker, my dad was 87 and still driving. Three days later my GP called. ALT of 94. AST of 88. The ultrasound came back with moderate steatosis. The consultant confirmed it two weeks later. Non-alcoholic fatty liver disease. F2 fibrosis already. "There's no medication for this. We treat it with lifestyle. Mediterranean diet, drop 10% of your body weight, walk every day. We'll retest in six months." I hung up the phone and sat at the kitchen table for forty minutes without saying anything. Then I stood up, opened the cupboard, and started filling a bin bag. The Frosties. The Ritz crackers. Three boxes of Pop-Tarts the grandkids ate when they came over. Two jars of jam. The entire bottom shelf of the freezer β€” the potato waffles, the pasties, the HΓ€agen-Dazs I loved. "That's it," I said to Linda. "I'm done." And I was. For 28 months, I didn't break the diet once. No bread. No pasta. No sugar. Not at my sister's wedding. Not on our 35th anniversary in Cornwall where they brought out a complimentary slice of cake and I asked them to take it back. Not at my own 58th birthday dinner where Linda made me grilled salmon and a salad and I lied and said it was the best birthday meal I'd ever had. I stopped going to the Sunday barbecues at my brother's because everyone was eating burgers on buns and I couldn't sit there with a plate of plain chicken without feeling like an alien. I stopped going to the cafe where me and my mates had been meeting for Saturday breakfast since 1994 because the smell of bacon made me want to cry. I lost my mate Mike, who told me "you're no fun anymore" and stopped inviting me. I lost a piece of myself I'd been carrying for 35 years. And I did it anyway. Because the doctor said to. I lost 41 pounds. I walked Riley β€” our golden β€” three miles every morning before work, summer and winter, didn't matter. I bought a juicer. Me. With a juicer. I still can't picture it. I took the generic cocoa capsules my consultant "wasn't against." I took a multivitamin. I drank lemon water every morning. I ate exactly what they told me to eat. I did everything right. The follow-up bloods came back on December 6th, 2022. ALT: 91. AST: 86. Six months of doing everything right and the numbers had barely moved. The doctor barely flinched, and just said "The liver heals slowly. Give it more time. We'll retest in six months. Keep doing what you're doing." So I did. June 2023 bloods: ALT 96. AST 91. Higher. December 2023 bloods: ALT 104. AST 99. The fibroscan in January 2024 showed F3. I had progressed. I came home that night and sat at the kitchen table. The same table I'd sat at after the first phone call. I didn't say anything for a long time. Then I said, "Linda, I gave up everything. Everything I love to eat. For 19 months. And it's getting worse." She told me to give it more time. She told me the consultant said it could take two years. She told me to trust the process. I nodded. I wasn’t sure if I trusted the doctors anymore but I still trusted my wife. So I kept walking Riley. I kept eating the salmon and the spinach. I kept taking the generic cocoa. Five days later β€” five days β€” I woke up at 2 AM with a pain in my right side that doubled me over. Like I was being stabbed with a hot knife. Linda drove me to A&E while I tried not to pass out from the pain. By the time they admitted me at 4:30 AM, the whites of my eyes were yellow. Not "a little off." Yellow. Like a highlighter. Like someone had switched a light on behind them. I saw it in the bathroom mirror while I was giving a urine sample. The A&E doctor β€” a young bloke, couldn't have been 35 β€” looked at my bloods and his face did this thing. "Mr. Hayes, your bilirubin is 9.1. Your ALT is now 612. Your liver is in acute decompensation. We're admitting you to ICU." "But I've been on the diet for over two years," I said. He just looked at me. "I know, Mr. Hayes. I'm so sorry." I spent 6 days in the ICU. I want to tell you what that was like from the inside because if you have fatty liver and you're doing the diet and you think five more months of grilled chicken and steamed broccoli is going to fix it, you need to hear this. Day one, the nurse explained my liver's blood supply had completely choked off. She told Linda that a massive oxidative fire had destroyed the nitric oxide in my body, forcing the microscopic blood vessels to pinch shut. The organ was suffocating, and they were hoping it would reopen enough supply lines to buy me time. Day two, my ammonia levels started climbing. When your liver stops working, the ammonia your body makes just from being alive starts crossing into your brain. They call it hepatic encephalopathy. It means you stop being you. I asked Linda three times in twenty minutes if I'd let Duke out. Duke was the collie I had as a boy. He died in 1978. I asked her whose bedroom I was in. I told her our daughter was late for volleyball practice. Our daughter is 32 years old and lives in London and hasn't played volleyball since 1999. I don’t remember asking any of these questions. Linda told me later I told her I loved her four times in an hour and she wasn't sure I knew who I was talking to. Day three, my belly swelled up like I was nine months pregnant. They drained 4 litres of fluid out of my abdomen. Four litres. The nurse called it ascites. Linda called our daughter. Day four, the doctors started talking about a transplant. Then they talked about me not being a candidate because of how fast I was declining. Then they stopped talking about transplants altogether. Day five, they put me on a ventilator. I don't remember much of it. I remember one moment. It was early morning. I don't know if it was a dream. Linda was sitting in the chair by the window and her head was on her arms on the edge of my bed and she was crying and she was saying my name and I couldn't say anything back because the tube was down my throat. And I remember thinking, very clearly, in a way I've never thought anything before or since: this is it. This is where I die. This is where 36 years ends. And I didn't get to say goodbye to her. I closed my eyes. Day six β€” October 19th. When I opened my eyes again, it was daylight. My daughter was next to the bed. Linda was asleep in the chair with her mouth open. My son was on the phone in the corner of the room. I wasn’t sure if I was awake, dreaming or something else. The registrar said the words the doctors say when they don't have an explanation. "You are extraordinarily lucky, Mr. Hayes." He said the word "lucky" three times when doing the discharge paperwork. I went home on a Thursday. Linda drove. Riley met us at the door, tail thumping like nothing had happened. I sat down on the sofa and I looked around the living room and I realised something I should have realised a year earlier. I could not keep doing this. Not the diet. The whole thing. The plan. The idea that another six months of eating grilled fish out of a Tupperware while Linda ate spaghetti in the lounge was going to reverse a disease that had just put me on a ventilator. Because the consultant wasn't going to figure it out. Because the ICU wasn't going to figure it out. Because the six-page discharge printout with the phone number to a nutritionist who never returned my calls wasn't going to figure it out. If I wanted to see my daughter get remarried and hold the grandkid she and her husband were talking about trying for, I had to figure it out. For four months I read everything. Medical papers I had to open in three tabs and read three times to understand. Hepatology forums where blokes were describing my exact trajectory β€” Mediterranean diet, walking, weight loss, numbers climbing, fibroscan progressing. Studies out of Germany and Japan. A Reddit thread I found at 1 AM in my kitchen that had 800 comments and I read every single one. I bought generic cocoa β€” the good stuff. The premium brand from the high street chemist. Forty-nine pounds. Took it for six weeks. My next bloods came back with an ALT of 134. I bought turmeric capsules. The cheap ones from the supermarket. Took them for a month. Nothing. I bought an artichoke extract off Amazon that had 4.7 stars and 12,000 reviews. Took it for a month. Nothing. I bought a "liver detox" tea from a health shop that a woman on a Facebook page said had changed her life. Tasted like wet grass clippings. Made me pee. That was it. I hit a dead end. I was four months out from the ICU. My ALT was 129. My consultant wanted to put me on a new injection regimen, and I was two days away from saying yes out of desperation. Then the summer holidays came around. My whole family went to my sister's house in York. I sat there with my Tupperware of grilled chicken and steamed vegetables when I noticed my Uncle Sal. Throughout the afternoon, my Uncle Sal ate two pulled pork sandwiches, a plate of my sister's macaroni cheese, three of my brother-in-law's ribs, and a slice of watermelon at the picnic table on the patio. The thing about Uncle Sal is that he was diagnosed with NAFLD in 2020. F3 fibrosis. Same stage I ended up at. He's 76. He's my dad's younger brother. He worked as a university professor for thirty-one years before he retired. Taught engineering or something. And he was eating. Actually eating. Not the plate of steamed vegetables and grilled chicken I'd been packing into a Tupperware for every family function for two and a half years. Real food. My sister's pulled pork with the sauce on it. I sat down next to him with my Tupperware and I said, "Sal. What the hell are you doing?" He looked at me. Then he looked at my container. Then he looked at me again. "David. How long have you been eating like a rabbit?" "Two years and four months." "How are your numbers?" "I got out of an ICU three months ago. They almost put me on the list." He put down the rib. He said, "Sit down. I want to tell you something and I need you to listen." I sat down and he told me something that changed everything I thought I knew about fatty liver disease. "Your liver isn't damaged because of the sugar or the ribs or any other food you ate. It's damaged because its blood supply is choked off." He kept going. "Your liver relies on a massive micro-network of blood vessels to filter everything that passes through your body β€” food, medications, toxins, hormones, all of it." He picked the rib back up. Took a bite. "After forty, your natural vascular function declines. Modern life β€” ultra-processed food, medications, environmental toxins β€” triggers a massive oxidative fire that destroys nitric oxide even faster. By fifty-five most people have had their liver's blood supply choked off by half without knowing it." "And without a wide-open blood supply, your liver keeps running but the waste has nowhere to go. The organ suffocates. Fat backs up inside liver cells. Toxins recirculate. Enzymes climb. The damage has nowhere to go." "Treating the symptoms β€” eating cleaner, cutting back, exercising more β€” slows how fast you add fuel to the fire. It doesn't force the choked-off blood vessels back open." I asked him to say it again because I couldn't believe what I was hearing. He said, "You've been on the cleanest diet of your life for over two years and your fibroscan went from F2 to F3 and you ended up on a ventilator. You know why? Because your blood supply was pinched shut when they diagnosed you. The diet doesn't reopen the vessels. It just stops adding fuel." I said, "It's not just the diet. I walked every day. I bought a juicer. I took generic cocoa for over a year." He waved his hand at me like I'd said something stupid. "The walking, the generic cocoa, the juicer β€” they all do the same thing. They try to protect liver cells. You cannot save an organ that is starved of oxygen, David. It sits on the surface while the vascular starvation continues underneath. The real problem is the choked-off blood supply. Not the roll on the bread plate. Not the two grams of sugar in Linda's yoghurt." I said, "So what did you do?" He wiped his hands on a paper napkin. He said, "I figured out there are two things a serious liver support has to do at the same time, or it's a waste of your money." "It has to quench the massive oxidative fire that destroyed the nitric oxide in the first place. That means strictly cold-processed raw cacao. Never dutched. The generic cocoa you were taking from the supermarket was chemically alkalised and heat-blasted dead powder. The active compounds were destroyed before you ever swallowed it." "It has to physically force the choked-off blood vessels wide open. That means clinical-dose epicatechin, 300mg, flooding the micro-vasculature with nitric oxide. Not a sub-clinical sprinkle." "Two actions. At the same time. Quench the fire and reopen the blood supply." He reached into the pocket of his cargo shorts. Pulled out a small bottle. Set it on the picnic table between us next to a paper plate of watermelon rinds. He said, "One capsule every morning with my coffee. That's it." I said, "How long have you been on it?" He said, "Fourteen months." I said, "What are your numbers?" He said, "ALT thirty-one. AST twenty-eight. Fibroscan went from F3 to F1 in ten months." I said, "You went from F3 to F1?" He said, "I went from F3 to F1 eating your sister's mac and cheese and my wife's roast dinner. Because I reopened the blood supply. Because I stopped trying to protect a liver that was already suffocating and I forced the vessels back open." He picked up the bottle. He handed it to me across the picnic table. He said, "This isn't protecting, David. It's reopening." I put the bottle in my pocket. I drove home from York that night with Riley in the back seat and Linda asleep in the passenger seat and I put the bottle on the kitchen counter next to my old generic cocoa and I stared at it for a long time. The brand is Florenix. I took one capsule the next morning with my coffee β€” just like Uncle Sal said. Here's what happened. Weeks one and two. The dull ache under my right rib β€” the one I'd had for almost three years, the one my consultant had told me was "probably referred pain" β€” quieted. Just quieted. Like somebody turned the volume down. I noticed it on a Wednesday morning making toast for Linda and I actually stopped in the middle of the kitchen because I couldn't remember when I'd last felt the ache. The 2 PM slump β€” the one where I'd sit at my desk and feel my brain shut off β€” didn't happen anymore. Weeks three and four. I had energy at 7 PM. I hadn't had energy at 7 PM in three years. I took Riley for a second walk after dinner on a Thursday, not because I was supposed to, because I wanted to. Linda noticed at breakfast on a Saturday and said, "You look like you did in 2019." I didn't know what to say to that. Week six. I went in for my quarterly bloods. My consultant looked at the panel with a look on his face and asked, "Something changed. Are you on an injection?" I said no. He said, "David, your ALT is 62. Your AST is 51. This is the biggest single-quarter drop I've seen from you." He ran the panel again to make sure it wasn't a lab error. Same numbers. He said, "Whatever you're doing, keep doing it." Week ten. I went back. ALT: 31. AST: 27. Both in normal range for the first time since June of 2022. He said, "David. Seriously, what are you doing?" I told him. He wrote it down. Then he looked at me over his glasses and said, "I'm not allowed to endorse supplements. But I can't argue with your numbers. Keep doing it." That was three months ago. And I want to tell you the rest. I told my brother-in-law Frank. Frank was sitting on an ALT of 138 and a "borderline fatty liver" diagnosis his GP said to "monitor." He was doing the Mediterranean diet for eighteen months and watching his numbers climb anyway. I sent him a bottle. He didn't give up his food β€” he's stubborn β€” but he took the capsule every morning. He went back to his doctor last month. ALT 41. Down from 138 in ten weeks. He hadn't changed anything else. Same diet, same walks, same life. He called me crying. My 61-year-old brother-in-law. Crying on the phone. He said, "David, I think if I hadn't started this I'd be in your ICU bed next." I had to hang up. Then there's my son-in-law in London. 39, two little girls, early NAFLD on his last fibroscan. Started taking it eight weeks ago. He says the dull ache he'd had under his right rib for two years β€” the one his doctor told him was "probably just trapped wind" β€” is gone. He says his afternoon energy is back for the first time since the diagnosis. My next-door neighbour Jim. Retired firefighter, 63. He got hit with a "borderline fatty liver" diagnosis last spring and has been on the Mediterranean diet for a year with no movement in his bloods. He resisted at first because Jim doesn't trust anything he can't buy at the supermarket. His wife bullied him into it. His numbers dropped 44 points in nine weeks. I told my brother. I told the lads from my old Saturday-morning breakfast group. I told Mike β€” the mate who stopped inviting me β€” when I ran into him at Tesco on the High Street. I sat down at Linda's kitchen table last Sunday because Linda made her mother's lasagne for the first time in two and a half years. I ate two pieces. With garlic bread. With a glass of Chianti, which I don't even like, but Linda poured it and I didn't want to say no to her again. My daughter drove up from London for the weekend and she looked at me across the table like I was a ghost. My grandson β€” five years old β€” asked me if I was sick because the only reason he could think of that Grandad would eat pasta was if it was a special occasion. I told him no, mate. I'm not sick. I'm actually getting better. I want to be clear about who I am. I'm not a doctor. I'm not a scientist. I don't work for the company that makes Florenix. I don't get one penny for writing this. I'm a bloke who worked at a manufacturing plant for thirty-one years and almost didn't come home from an ICU last October. I'm writing this because two years ago I would have given anything for somebody like me β€” some bloke at a picnic table, some bloke at a football match, some random bloke on Facebook β€” to tell me what my Uncle Sal told me. And I keep thinking about the men in the NAFLD forums I read at 1 AM in my kitchen after the ICU, the men posting "F2 fibrosis, doing the diet, numbers won't budge, what am I missing" β€” and I know at least a few of them are on the exact trajectory I was on. Two and a half years of grilled chicken and steamed broccoli and a resident telling their wife she needs to step out of the room. I couldn't sit here and not tell them. Here's what I know because I lived it: Eating clean stops adding fuel to the fire. It doesn't reopen what's already choked off. Generic cocoa on its own is dead powder. You cannot save an organ that is starved of oxygen. I gave up 28 months of food I loved for a diet that ended with me on a ventilator because nobody told me what was actually broken. Nobody told me my blood supply was choked off. Nobody told me the answer was forcing it back open, not restricting harder. The page that explains all of this β€” the micro-vascular mechanism, why the diet alone was never going to move my fibroscan, why generic cocoa is a dead powder, and exactly what's inside Florenix β€” is right here. Florenix comes with a 90-day money-back guarantee tied to your actual bloods. Take it for twelve weeks. Get your numbers pulled. If they didn't move, you get every penny back. No questions asked. My uncle told me they're currently running a buy two get one free offer, but the batches are limited due to the strict cold-processing timeline and I know for a fact the last three times he's ordered a refill for himself it's been "temporarily out of stock" for two or three weeks. If you want it, order it now. πŸ‘‡ https://florenix.com/products/florenix-cocoa-flavanols Not protecting. Reopening. That's the line my Uncle Sal said to me at the picnic table with a rib in his hand. I want you to read the page. Not for me. For your wife. For your kids. For the bloke you're going to be at your grandkid's fifth birthday party when you can actually eat the cake. β€” David Hayes, age 58 P.S. I ate Linda's lasagne last Sunday. Two pieces. She cried in the kitchen when I asked for seconds. She hadn't seen me eat her food in 28 months. She kept saying "you're back, you're back" and I didn't know what she meant at first and then I realised she meant I was back. Not just at the table. Back. In my life. In my body. In our family. If you are on a strict diet right now and your numbers won't move and your wife stopped making the thing she used to make and your grandkid asked you why you don't eat pizza at their birthday party and you don't have an answer that doesn't scare them β€” read the page. Please. πŸ‘‡ https://florenix.com/products/florenix-cocoa-flavanols P.P.S. I don't work for Florenix. I worked in a manufacturing plant for thirty-one years and I'm retired now. I'm writing this at 11:47 PM on a Tuesday in my kitchen because I read a post on the NAFLD subreddit tonight from a bloke whose fibroscan went from F1 to F3 in nine months of "doing everything right" and I closed my laptop and stared at the ceiling for an hour and then I got back up and opened it and started writing this. Share this with anybody you love who has fatty liver. Even "mild." Even "borderline." Even if their doctor said "we're just going to monitor it." Especially then.

Support your liver health daily
florenix.com
Support your liver health daily

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