Atkins Diet and Liver Problems

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While it is undetermined whether or not the Atkins Diet can actually cause liver problems, replacing carbohydrates with protein, as the Atkins Diet recommends, is not recommended for people with existing liver ailments. Your liver is primarily responsible for metabolizing energy from carbohydrates, fats and protein, and the Atkins Diet creates a dietary imbalance of these nutrients, directly affecting how your liver works. Conversely, one recent study indicates that such a low-carb diet might actually be advantageous for people suffering from nonalcoholic fatty liver disease, or NAFLD, however.

Impact of Ketosis

The Atkins Diet sends your body into a state of ketosis, in which it must resort to burning fat for energy rather than the quick and easy energy of carbs. This results in weight loss, at least short term. But it is primarily your liver that metabolizes fat for energy. Therefore, if you enter ketosis per the guidelines of the Atkins Diet, it makes your liver work harder, according to the website Hep C Primer. If your liver is not working at peak efficiency to begin with, ketosis can cause even more damage and be potentially life threatening.

Impact of Increased Protein

Protein helps to repair damaged tissue. According to the American Liver Foundation, it can regenerate liver cells. But like the processing of fat involved in ketosis, protein is harder for your liver to metabolize as well. For cirrhosis, the American Liver Foundation recommends a balanced diet that includes protein for cell health and suggests that you speak to your physician about how much you should be ingesting so as not to tax your liver by consuming too much.

Impact of Reduced Carbohydrates

If you have liver disease, you should eat more carbohydrates, not less, because they are easier for your liver to process, according to Hep C Primer. The website quotes Dr. Melissa Palmer as indicating that ideally, you should eat 400 g of carbohydrates a day with liver dysfunction. Comparatively, dieters begin the first phase of the Atkins Diet by consuming only 20 g of carbs a day. The American Liver Foundation also recommends eating plenty of fiber if you suffer from fatty liver disease, and the Atkins Diet limits sources of fiber as well, especially in its initial induction phase.

Effect on Liver Fat

Website Science Daily reports on a study performed by Dr. Jeffrey Browning and a team at the University of Texas Southwestern Medical Center, published in the journal “Hepatology” in 2008, which suggests the livers of low-carb dieters, such as those who undertake the Atkins Diet, will metabolize their own liver fat as well when carbs are in short supply. Browning believes this might prove beneficial for those who suffer from nonalcoholic fatty liver disease, or NAFLD, a condition that results from an excess of fat in the liver.


Hep C Primer indicates that if you suffer from liver disease, the last thing you want to do is attempt any diet without consulting with your physician first. Because your protein consumption is critical to liver function, your dietary intake should be monitored by your doctor.