CLAIM: Black coffee can treat fatty liver

FACT: Misleading. While black coffee may offer some liver-protective benefits, it cannot "dissolve fat" or cure fatty liver disease on its own. 

First Check came across an Instagram reel claiming black coffee can treat fatty liver. 

"Do you know how coffee impacts liver?" says the expert in the video. "If you drink three to four cups of black coffee without sugar and milk, it can melt all the fat. Coffee is a very good protector for the liver."

The post description reads: "Coffee contains antioxidants and other compounds that may help reduce liver inflammation and fibrosis."

What Experts Say?

Research does indicate that coffee may provide certain liver benefits. According to an article published in the Journal of Clinical and Experimental Hepatology, regular coffee consumption has been linked to a reduced risk of liver fibrosis, cirrhosis, and even liver cancer. The antioxidants in coffee, particularly chlorogenic acid, may reduce inflammation and prevent fat buildup in the liver.

However, experts warn that while coffee may help manage fatty liver symptoms, it is not a standalone treatment. Dr Rajiv Kovil, Head of Diabetology at Zandra Healthcare in Mumbai, cautioned against relying solely on black coffee for managing fatty liver disease, saying it should complement, not replace the other recommended treatments and lifestyle modifications.

"While coffee consumption may support liver health, it should not be considered a standalone treatment for fatty liver disease," Dr Kovil said. “Comprehensive management — including dietary changes, regular exercise, and medical supervision — remains crucial.”

For individuals with fatty liver, black coffee can be a helpful addition to their diet. "Consuming two to three cups daily may reduce liver fat accumulation and slow disease progression," Dr Kovil pointed out.

However, he advised caution: "Patients should consult their healthcare provider before making significant dietary changes, especially if they have other health conditions or are sensitive to caffeine."

Risks of Excessive Coffee Consumption

Drinking excessive amounts of coffee—especially three to four cups daily—may lead to side effects such as insomnia, heart palpitations, and digestive issues. Individuals with certain medical conditions, like blood pressure or those sensitive to caffeine should exercise caution.

A study looking at the Effect of Coffee Consumption on Non-Alcoholic Fatty Liver Disease calls for more studies to establish coffee’s ameliorative effect on fatty liver. "Prospective studies with a comprehensive evaluation of coffee intake over time will be important to clarify the amount, type, preparation method, and pattern of coffee consumption that has the most benefit in liver disease," the study concludes. "The impact of possible confounding factors such as enhanced nutritional status or physical activity cannot be excluded."

Hence, while black coffee may offer some liver-protective benefits, it cannot "dissolve fat" or cure fatty liver disease on its own. A balanced diet, regular exercise, and medical guidance remain the most effective strategies for managing this condition.

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