Fat quality matters
EASL describes Mediterranean-style patterns rich in unsaturated fats, while AASLD identifies excess saturated fat as part of the dietary pattern associated with NAFLD/MASLD [1] [2]. NIDDK similarly advises replacing saturated and trans fats with unsaturated fats [3].
That supports ordinary recipe choices such as using suitable unsaturated oils, nuts, seeds or fish where appropriate rather than removing fat from every meal.
Sources for this section: [1] EASL–EASD–EASO Clinical Practice Guidelines on MASLD · [2] AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD · [3] Eating, Diet, & Nutrition for NAFLD & NASH
Carbohydrate quality matters too
AASLD highlights refined carbohydrates and sugar-sweetened beverages, while NIDDK encourages lower-glycaemic foods including many fruits, vegetables and whole grains. The message is not 'carbohydrates cause fatty liver'.
A cookbook can use whole grains, legumes and intact plant foods while limiting unnecessary added sugars and highly refined carbohydrate-heavy defaults.
Sources for this section: [2] AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD · [3] Eating, Diet, & Nutrition for NAFLD & NASH
Several dietary approaches can work
AASLD notes that low-carbohydrate, low-fat and Mediterranean-style approaches can all improve liver-related measures in appropriate contexts [2]. That is a warning against turning one fashionable macronutrient split into a condition-wide rule.
The site should prioritise an eating pattern people can maintain and that aligns with their wider health needs.
Sources for this section: [2] AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD
Recipes are not metabolic prescriptions
Some readers with MASLD will also have diabetes, lipid disorders, obesity or other conditions that change their dietary plan. The site cannot infer those needs from a diagnosis label alone [4].
Its job is to provide good formulations with transparent nutrition and adaptable ingredients, leaving personalised macronutrient targets to appropriate care.
Sources for this section: [4] Diagnosis of NAFLD & NASH
Keep the plate culturally flexible
The same dietary-quality principles can be expressed through many cuisines. Brown rice is not inherently superior to every other staple, and olive oil is not the only possible unsaturated fat. The useful question is what role the ingredient plays in the overall pattern.
That flexibility matters for a global cookbook because availability, cost, religion and food culture can shape what is practical long before a theoretical macronutrient ratio does.
Sources for this section: [1] EASL–EASD–EASO Clinical Practice Guidelines on MASLD · [2] AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD
Sources
- EASL–EASD–EASO Clinical Practice Guidelines on MASLD
European Association for the Study of the Liver, European Association for the Study of Diabetes, European Association for the Study of Obesity. Clinical Practice Guidelines on the Management of Metabolic Dysfunction-Associated Steatotic Liver Disease. 2024. Verified 1 Sept 2026. - AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD
Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, et al. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023;77(5):1797-1835. Verified 1 Sept 2026. - Eating, Diet, & Nutrition for NAFLD & NASH
National Institute of Diabetes and Digestive and Kidney Diseases. Eating, Diet, & Nutrition for NAFLD & NASH (also referred to as MASLD/MASH). Verified 1 Sept 2026. - Diagnosis of NAFLD & NASH
National Institute of Diabetes and Digestive and Kidney Diseases. Diagnosis of NAFLD & NASH (also referred to as MASLD/MASH). Verified 1 Sept 2026.
