Nonalcoholic Steatohepatitis
Making lifestyle changes: ten ideas to get started

Loosing excess weight together with an active lifestyle help with management of NASH but where to begin?
As for what doctors typically recommend today as a first course of action, weight loss is near the top of the list. Many people will have heard this before and have the desire to lose weight, but not sure how to start. The mindset is always a good place: every long journey starts with a single step. And small steps achieve the same end as big ones.
1. Write it down. Take pen to paper and make a daily list of goals or action items. Place a checkbox next to each so you can feel the satisfaction of checking each item off. Commit yourself to each goal and do your best to make it happen.
2. The buddy system. Look at your circle of friends and family neighborhood, and dinner table and ask yourself, who might lean in to adopting some healthier behaviors? From challenging each other on step counts to sharing recipes, who can help make the journey more motivating?
3.Orchestrate your success. Make sure you have the tools you need and set a realistic timeline for yourself and keep your goals small and obtainable. Identify potential pitfalls ahead for your plan (i.e., a special event with limited food options) and have a strategy to overcome.
4.Adopt a fitness mindset. When you are out, park in the spot furthest away from the entrance and seek out the stairs. Before you know it, you’ve added an extra 1,000 steps without much additional effort. Actively seek easy opportunities to up your step count.
7. Change the soda habit. Research links soda consumption (high fructose corn syrup) to nonalcoholic fatty disease. Reducing sugary beverage intake by swapping a cola for a sparkling water; this is a strategy that maintains the habit of holding a can and enjoying the sensation of carbonation.
8. Ask about vitamins. Other research into fatty liver disease indicates that vitamin B12 might help reduce the inflammation of NASH. If you do not take a multivitamin, ask your doctor for advice on adding one into your daily routine.
9. Have a ball. Think back to the joys of childhood and get outside to throw, catch, kick, hit, and/or pass a ball. Maybe a furry companion might like to tag along.
10. Reward yourself. Don’t be afraid to pat yourself on the back for your achievements. Put a few dollars away each time you hit a milestone and then reinvest them into your wellness efforts. Get a massage, a new water bottle or hooded fleece.
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