No at least not with me. Every 6 months the VA is alternating CT and Ultra sound to keep an eye on things

I don't recall anyone directly attributing phlebs to a reduction in fatty liver. However it seems to be possible :-)

See
http://www.ncbi.nlm.nih.gov/pubmed/20851820

Though I think you will also have to make sure you eat a "clean" diet and do some exercise (I assume the people in this study had already adopted a healthy lifestyle as they were "unresponsive to lifestyle changes" already, though I don't have access to the full study). Reduce all sources of fat in particular "fructose" (I now believe it's far worse than actual fat) so no carbonated drinks, high sugar snacks/foods etc.

Ref
http://www.ncbi.nlm.nih.gov/pubmed/20518077

Please read my post yesterday on taking milk thistle. Good luck!

My husband who doesn't have HH but does have a fatty liver did take milk thistle and his live enzymes came down a lot, he lost about 20 lbs and cut back on high fat foods.

I do have HH and had high liver enzymes when first dx, took milk thistle also, my liver was full of iron 4+ with the liver biopsy, and now my liver is good..

My ferritin was as high as 1350 last May and I had weekly plebs until January to get it down to 50. My liver ultrasound showed cysts, fatty tissue and other abnormalities in June when imaged. In Oct my ferritin was down to 500 and the liver was imaged again and it showed less issues. I go to a homeopath for treatment to help the liver issues. He's improving it, even though the enzymes are ok his "conductivity" machine shows issues. I don't drink at all, no meats or eggs except fish, no peanuts or peanut butter (hard for liver to deal with), minimum sugar (I use stevia), and exercise is important. At least 30 to 60 min a day of something, even if it is only walking outside. Mediation and keeping calm also helps.

Now I'm getting chelation therapy to get the other metals out of my body, that's going to take a few months. Aluminum toxicity (from lifelong deodorant use), mercury (from teeth fillings) and others from industrial work will be removed, hopefully in recovering more.

Neal,

If you have HH, your ferritin is too high. My doctor's cutoff is 50. Get your ferritin down and see what happens with the fatty liver.

What's your current ferritin level?

JMHO

In late 93 when tagged with HH, the biopsy showed some (but unquantified cirrhosis) . Really scared me. After a year plus of continual phlebs, the ferritin came down to 25. Gradually my liver enzymes improved and have stayed within normal range. I recently had my second biopsy and the m.d. said all looked good.

It is my guess that as you unload the iron the organ will gradually increase in function etc. In Chinese medicine, I believe they sometimes refer to the liver as the "Heroic Organ."

Elevated liver enzymes are what led to my diagnoses of HH. Liver biopsy showed NASH and fibrosis, ultra sound showed an enlarged liver. Since I have gotten my iron down my liver is now normal in size according to a CT scan and my GI says my liver should last my lifetime.

Reducing your fat intake and exercise can only help you, no matter what.