For those who healed their Fatty liver, did the sugar cravings and insuline resistance improve?
u/Medical_Quantity296
Body:
Hi everyone. I wanted to share my story and perhaps find others who are navigating the same "metabolic minefield" I am.
The Context:
I’m 27M, 184cm (6'0"), currently 101kg (222lbs). My latest InBody scan shows I have 39.7kg (87.5lbs) of Skeletal Muscle Mass. That’s 131% of the average for my height. I train heavy (chest, back, shoulders, arms) and I’m extremely active—I live in Tokyo and averaged 29,000 steps yesterday alone.
The History:
I’ve been the "chubby kid" my whole life. I was overweight as a child, a teen, and now as an adult. My family history is riddled with Diabetes. I’ve successfully lost weight before on pure willpower, reaching 87kg (191lbs) naturally. But here’s the kicker: even with all that muscle and activity, my body spent the next 3 years slowly creeping back up to 101kg. It wasn't a sudden binge; it was a slow, agonizing metabolic surrender to burnout and stress-induced night hunger.
The Diagnosis:
I recently found out I have Grade S2 Fatty Liver (CAP 285). This explains a lot. My body isn't just "lazy"—it’s genetically programmed to store fat and fight my insulin. My "hunger" isn't psychological; it feels like a biological short-circuit that wakes me up at 3 AM.
The Current Journey:
I’m on Mounjaro 2.5mg. I’m choosing to stay on the lowest dose because I want to keep it as a "metabolic buffer." I’m still eating 2,500kcal a day to protect my hard-earned muscle mass. I don't want a "starvation" transformation; I want a permanent repair.
The Fear (And why I'm posting):
I’m terrified. I’m scared that once I hit my 82kg (180lbs) goal and stop the medication, the "3-year creep" will start all over again. I’m afraid that my genetic predisposition to Diabetes and my childhood obesity "memory" will eventually outrun my discipline.
Has anyone here with a high muscle base managed to maintain their goal weight after stopping?
Did fixing your fatty liver/insulin resistance actually silence the "emergency hunger" for good, or is this just a 10-month band-aid?
How do you deal with the body dysmorphia of being "the big muscular guy" who still feels like the "chubby kid" inside?
I’m determined to make this the last time I ever have to "lose weight." I want to just live at 82kg. Any advice from long-term maintainers or those with similar backgrounds would mean the world.