Detria Branch
MS, RDN, LD
Can see patients in 26 states
Women's health · Pregnancy & postpartum · Diabetes & metabolic health · Digestive health · Pediatric & family nutrition · Skin & hair nutrition
See Detria Branch’s profileWeight and metabolic health
Fatty liver dietitian, online
An online fatty liver dietitian helps you change the eating, drinking and activity habits most linked to liver fat, with a plan that fits your schedule instead of a strict diet. The work supports the monitoring and care your doctor provides for fatty liver disease, now often called MASLD.
Clinically reviewed by Dr. Ambily Kushal, RD, MS, PhD · Last reviewed
What does a fatty liver dietitian do?
A fatty liver dietitian helps you make the lifestyle changes that guidelines recommend as the foundation of care for fatty liver disease: eating pattern, alcohol, activity and, where it applies, gradual weight loss.
Fatty liver disease is common and often found by chance on a scan or blood test. It is closely linked to insulin resistance, type 2 diabetes, high cholesterol and weight around the middle, and it can be found in people at any weight. Most people have no symptoms, which makes it easy to put off acting on.
Your doctor diagnoses fatty liver disease and checks for scarring, called fibrosis, which guides how closely you are followed. A dietitian builds the day-to-day plan around that care.
Which eating changes help with fatty liver?
A Mediterranean-style pattern, fewer sugary drinks and refined carbohydrates, little or no alcohol, more fiber and healthy fats, regular activity, and steady weight loss if your doctor recommends it.
The eating pattern
The Mediterranean pattern, built on vegetables, fruit, legumes, whole grains, olive oil, nuts and fish, is the pattern most often recommended for fatty liver.
Sugary drinks and refined carbohydrates
Soft drinks, juices and sweetened coffee drinks add sugar that the liver turns into fat. Cutting these back is often one of the simplest, highest-value changes.
Alcohol
Alcohol adds to the load on the liver. How much, if any, is safe for you is a question for your doctor; your dietitian helps you make the change practical, including at work and social events.
Weight and activity
Where weight loss is recommended, gradual loss is safer and easier to keep than rapid loss. Regular activity helps the liver even when weight does not change much.
Who is fatty liver nutrition care for?
It is for adults whose doctor has found fat in the liver and recommended lifestyle changes.
A good fit if you
- Have been told you have fatty liver on a scan or blood test
- Also have prediabetes, type 2 diabetes or high cholesterol
- Want a plan that works around work dinners and travel
- Want to cut back on alcohol and need a practical plan
See your doctor first if you have
- Yellowing of the skin or eyes, or dark urine
- Swelling of the abdomen or legs, or confusion
- Been told you have cirrhosis, which changes nutrition needs
- Not yet had fibrosis assessed
What do fatty liver visits cover?
Visits cover your results, related conditions and daily habits, and leave you with a few clear changes for the week ahead.
- Your liver tests, scan results and any fibrosis assessment you have
- Related conditions such as diabetes or high cholesterol
- Sugary drinks, alcohol and snacks across a typical week
- Meal pattern, work meals and travel
- Activity you can keep doing
What a month of care looks like for fatty liver
A month of care gives you a weekly hour with one dietitian and support between sessions, so the changes become routine.
The Personalized Care Plan is $600 a month (30 days): four 60-minute video sessions, one a week, a personal nutrition plan adjusted week by week, and chat and call support between sessions. Here is one example of how those weeks can run; your own month follows your history, your goals and how each week actually went, and no particular result is promised.
Week 1: Your liver picture
Results, related conditions and habits, and two or three first changes.
Week 2: Drinks
Sugary drinks and alcohol, and what to have instead in the situations you meet most.
Week 3: The eating pattern
A Mediterranean-style week built from food you enjoy.
Week 4: Activity and the long view
Movement that fits your calendar, and what to discuss at your next liver check.
How do I start: a month of care, or a first visit?
Choose your dietitian and pay for the month online by card, or meet them first with one $140 first visit. Either way, you see the price before you pay.
Online enrollment in the Personalized Care Plan opens dietitian by dietitian, and where a dietitian’s has not opened yet, booking says so plainly. Once the month is paid, you book your four 60-minute sessions inside its 30 days.
Prefer to meet first? A first visit is 60 minutes for $140, a chance to see how your dietitian works before you commit to a month. Prepaid visit packages are also available: 3 visits for $399, 8 for $1,024 or 20 for $2,400.
How does private, online fatty liver care work?
You choose a registered dietitian, meet by secure video at times that suit you, and keep the same dietitian between your liver checks.
There is no insurance paperwork and, in most states, no referral to arrange: you choose a registered dietitian, see the price before you book, and pay by card, with a receipt for every visit. In California, medical nutrition therapy from a registered dietitian is provided on a referral from the patient’s physician (Business and Professions Code §2586).
Visits are by secure video from your phone or computer, so there is no commute and no waiting room. Each dietitian sets their own hours, and the times they have open are shown in your own time zone.
You can see the same dietitian at every visit. The person who knows your history builds the plan around your work, travel and family commitments, adjusts it as those change, and can be reached by secure message between visits.
Dietitians on CognitiveMind.ai who focus on metabolic health
Each dietitian below lists metabolic health among their specialties. Visits are by secure video, so what matters is the state you are in at the time of each visit; every profile shows where that dietitian can see patients.
Frequently asked questions
What is MASLD?
MASLD stands for metabolic dysfunction-associated steatotic liver disease, the newer name for what was called non-alcoholic fatty liver disease. It means excess fat in the liver linked to metabolic factors such as insulin resistance.
Can diet help fatty liver?
Yes. Eating pattern, alcohol, activity and gradual weight loss where needed are the main lifestyle approach doctors recommend, and can lower the amount of fat in the liver.
Do I have to stop drinking alcohol?
Ask your doctor, as it depends on your liver health. Many people with fatty liver are advised to drink much less or not at all.
Is coffee good or bad for fatty liver?
Plain coffee is generally considered fine for most people with fatty liver. Watch the sugar and cream added to coffee drinks.
Can you have fatty liver at a normal weight?
Yes. Fatty liver can occur at any weight, often alongside insulin resistance. Eating pattern and activity still matter.
Should I try a liver detox or cleanse?
No. The liver does not need a cleanse, and some detox products can harm it. Talk to your doctor and dietitian before taking any supplement for your liver.
How much does a fatty liver dietitian cost without insurance?
The Personalized Care Plan is $600 a month (30 days): four 60-minute video sessions, one a week, a personal nutrition plan adjusted week by week, and chat and call support between sessions. A single first visit is $140, and visit packages are also available. Everything is self-pay by card and not billed to insurance, and nothing renews on its own.
Our condition guides are general education, not medical advice. Talk with your doctor about your own diagnosis, tests and medicines.