Online diet program shows promise for fatty liver

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Willing to change diet for at least three months (accepting reduced sugar, less processed foods, reduced red meat, and following a Mediterranean diet with olive oil, high-fiber foods, vegetables, fruits, nuts, and legumes) * Intrahepatic triglyceride content (IHTG) of 5% * Age 18 to 70 years * Fulfill the diagnosis of Metabolic Dysfunction-Associated Steatotic Liver Disease * Baseline Mediterranean Diet Adherence Screener (T-MEDAS) score equal to or less than 5 * Participants must not have initiated any new probiotic treatment in the past three months or must have been on a stable probiotic regimen for at least three months, which they are willing to continue for the duration of the study Exclusion Criteria: * Other liver disease (viral hepatitis, autoimmune or cholestatic liver disease, Wilson's disease, hemochromatosis, or alpha-1 anti-trypsin deficiency) * Unstable body weight (variation \>5% within the preceding 3-month period) * Current use of weight loss medications (e.g., Liraglutide) * Current use of pioglitazone * Unstable diabetes (HbA1c \>8.5%) * Decompensated cirrhosis (international normalized ratio \>1.3, platelets \<100 × 109/mm, bilirubin \>20 mmol/L, albumin \<35 g/L, ascites, or hepatic encephalopathy) * A serum creatinine level ≥ 2mg/dL * Presence of active cancer or undergoing chemotherapy either at present or in the prior three years * Major illness that might require hospitalization * Pregnancy or lactation for women * Participation in another trial * Chronic treatment with warfarin (given its interaction with vitamin K) * Being implanted with a pacemaker or platinum implant (due to inability to undergo magnetic resonance imaging included in the study design) * Alcohol consumption above 30 g per day in men or 20 g per day in women