LP A – Susan Advertorial (Fatty Liver / Insulin)

Health · Metabolic

How A 63-Year-Old Grandmother From Ohio Finally Got A Different Word On Her Liver Scan, After Two Years Of Being Told To “Just Lose Weight”

I Did Everything They Told Me To Do And My Scan Still Said “Moderate”… Until I Found The Hormone Nobody Had Measured, And The German Compound That Talks To It.

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2:14 AM. The recheck report, the reading glasses, and the dog wondering what was wrong with me.
2:14 AM. The recheck report, the reading glasses, and the dog wondering what was wrong with me.
In shortTwo years of diet and walking, and the scan still said “moderate.” The lever turned out to be insulin, a hormone none of my panels had ever measured. What I added is R-alpha-lipoic acid, the R-form at the 600 mg dose used in 30 years of German trials, because it helps cells answer insulin again so sugar gets burned instead of parked in the liver. Here is how I found out, and what happened over the next 120 mornings.

The clock on the stove said 2:14 AM.

The recheck report was on the kitchen table where I had dropped it that afternoon. One word on it, in the same place as last time.

Imaging Center · Final ReportHartley, Susan · F · 63
LIVER: Moderate hepatic steatosis, unchanged from prior study 03/2026.
Recommend continued lifestyle modification and follow-up in 6 months.

Two years. Sugar gone. Three miles a day with the dog, in the rain. Twenty-two pounds. And the word did not move.

I could deal with the black coffee. I could deal with the walks.

What I could not deal with was the potluck I had stopped going to, because every casserole felt like a decision about my liver. The pancakes I had stopped making on Sundays. The way my granddaughter looked at me when I said “Grandma’s not hungry” for the third week in a row.

“Grandma, are you sick?”

I told her no. At 2:14 in the morning, reading about transplant lists on my phone, I was not sure.

The Most Frustrating Part? I Was Doing Everything They Told Me To Do.

Three miles, every morning, over 700 mornings. The dog got the best years of his life out of my liver. The scan got nothing.
Three miles, every morning, over 700 mornings. The dog got the best years of his life out of my liver. The scan got nothing.

I had tried everything the pamphlet, the doctor and the internet agreed on. Every one of them did something. None of them did the thing.

  • I cut the sugar. All of it. The juicer lived on the counter for a year.It changed what arrived at my liver. Not what my liver did with it.
  • I walked. Three miles, every morning. Twenty-two pounds.The scan said “moderate” at 184 pounds and “moderate” at 162.
  • I took milk thistle. Two bottles a month, $44, for a year.It aims at the liver. My problem, it turned out, was never in the liver.
  • I asked about the injection. $1,100 a month, and I was “not a candidate” anyway.It aims at appetite. Fewer trucks. The warehouse keeps the same orders.
  • I did what they said: “We’ll monitor it.” Six months. Then six more.Monitoring is watching. It is not a plan.

Everything on that list aimed at the plate, the scale, or the liver itself. Nothing on it aimed at the thing giving the orders. I did not know there was such a thing.

I was starting to believe this was simply what 63 looks like. But I had done everything, and I was tired of being told to do it again.

And then, on a Tuesday, on the loop by the reservoir, something happened.

The Woman On The Walking Path Who Showed Me Her Two Reports

Marlene, on the reservoir loop, with two years of ultrasound reports on her phone. Same word as mine on the first one. A different word on the second.
Marlene, on the reservoir loop, with two years of ultrasound reports on her phone. Same word as mine on the first one. A different word on the second.

Marlene walks the same loop I do. We had been nodding at each other for a year before we talked.

Two years ago her scan said “moderate.” Last spring it said “mild.” She pulled both reports up on her phone and held them side by side, and I stopped walking.

I asked what she had changed. Her answer is the reason this article exists:

“Nothing. I stopped fighting the fat and started on the hormone that was telling my liver to store it.”

Then she gave me five words to say at my next blood draw. “Please add fasting insulin, too.”

I had had a hundred panels in my life. Nobody had ever measured it. The nurse gave me a look, and ordered it.

Lab Report · FastingHartley, Susan · 09/2026
✓A1C — 5.6% — Normal
✓Glucose, fasting — 96 — Normal
✓ALT — 31 — Normal
!Insulin, fasting — 26 uIU/mL — HIGH (ref <10)

Three years of “everything looks fine.” And the number that explained all of it was one line nobody had ordered.

The Hormone Nobody Measured, And Why It Was Running My Liver

The foreman never argues. For years, the clipboard had said one word.
The foreman never argues. For years, the clipboard had said one word.

Here is what Marlene’s doctor had explained to her, and what nobody had explained to me. I will keep it as simple as she did.

Every time you eat, insulin knocks on your cells: take this sugar in, burn it. Over the years, the doors stop answering. So your pancreas knocks harder. Twice the insulin. Three times.

Your A1C still says “fine,” because the sugar still gets put away. Somebody is just shouting to make it happen.

Insulin has a second job. It tells your liver what to do with sugar, and at that volume the message is one word: store.

That is fatty liver. Not alcohol. Not dirt. Not a character flaw. Orders.

June 2023 · Hepatology
236 liver specialists from 56 countries vote to rename fatty liver disease.

The new name drops “non-alcoholic” and starts with “metabolic.” In other words: they put the cause in the name.

And that is why two years of effort never moved the scan. The diet meant fewer trucks arrived. The walks burned some of what did. But the clipboard still said STORE, because nothing I did had touched the hormone holding it.

Which raised the only question that mattered: what does?

The German Compound That Makes Cells Answer Insulin Again

Have a guess? Marlene made me guess.

It is alpha-lipoic acid. Yes, the same molecule your body makes in every cell, at the exact spot where sugar becomes energy.

German physicians have prescribed it since the 1960s for how nerves and cells respond to insulin, and since the 1990s trial after trial has asked the same question: does it make the cells answer insulin again. Six hundred milligrams a day. Same number in every trial.

It is not a herb. It is not a cleanse. It is the key to the door that stopped answering.

Three things separate it from the $11 bottle at the drugstore, and Marlene was clear that it has to be all three:

1
The R-form only

Your cells use one of two mirror-image shapes. Drugstore bottles are a 50/50 mix. Half of what you swallow is the wrong key.

2
600 mg a day

The amount in the trials. Most bottles give you 100 to 300 and call it a day.

3
Slow-release, three capsules

The molecule is gone from your blood in about an hour, and insulin knocks at every meal. Three capsules with breakfast keep the key on duty through lunch and dinner.

The $11 bottle from my drawer, next to the one Marlene uses. Same name on the label. Not the same thing in the capsule.
The $11 bottle from my drawer, next to the one Marlene uses. Same name on the label. Not the same thing in the capsule.

The one she uses is from a small company in the US called Root of Nature. One ingredient on the front of the bottle: R-alpha-lipoic acid, 600 mg per serving, slow-release, third-party tested every batch. No “liver complex.” No blend. Nothing that competes with metformin, a statin, or a pen.

Root of Nature R-Alpha Lipoic Acid 600 mg, the bottle and the capsulesSupplement Facts: R-Alpha Lipoic Acid 600 mg per 3-capsule serving, extended-release

I ordered the four-pack that night, because Marlene said the recheck is four months away for everybody, and she was right.

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What Happened Over The Next 120 Mornings

Day 1. Coffee, eggs, three capsules. The whole addition.
Day 1. Coffee, eggs, three capsules. The whole addition.

Nothing else changed. Same walks. Same coffee I hate. Same sugar I do not eat. I want to be clear about that, because the only way to know what did it is to change one thing.

Week 3

The Afternoons Changed First.

I noticed it on a Thursday: I had not napped. For two years, three o’clock had flattened me. That week it simply did not. I did not trust it yet. I wrote it down.

Day 60

My First Number.

Fasting insulin · May
26
HIGH · never measured before
Fasting insulin · July
14
Same lab. Same nurse. Different look.

Nobody had ever handed me a number that moved. My A1C had been “fine” for three years while I got sicker. This was the first time a sheet of paper proved the effort was worth it.

Day 90

I Went Back To The Potluck.

Deviled eggs, and nobody looking at me like a woman with a secret.
Deviled eggs, and nobody looking at me like a woman with a secret.

I brought the deviled eggs. I ate one. I did not do math at the table. That sounds small. If you have this, you know it is not.

Day 120

The Recheck.

Imaging Center · Final ReportHartley, Susan · F · 63
LIVER: Mild hepatic steatosis, improved from prior study.
Recommend continued current regimen. Follow-up in 12 months.

Dr. Patel read it twice. Then he asked me what I had changed. I showed him the bottle and the two insulin numbers. He wrote the name down.

Ray’s panel next to mine. His A1C had been “great” for years on metformin. His ALT had been flagged for eleven panels in a row.
Ray’s panel next to mine. His A1C had been “great” for years on metformin. His ALT had been flagged for eleven panels in a row.

My husband Ray has been on metformin for nine years. Blood sugar: perfect. Liver enzymes: flagged every single panel, and every doctor shrugged. He kept the metformin, told his doctor, and added three capsules with his coffee. Next panel, ALT unflagged. He now calls it “your liver thing,” which from Ray is a standing ovation.

Even The Specialists Agree: What 30 Years Of Trials Found

Dr. Patel at my recheck, reading a number he had not ordered.
Dr. Patel at my recheck, reading a number he had not ordered.

My belief in this did not come from one good scan. It came from what I read after, and what Dr. Patel confirmed when I brought him the printout.

  • Alpha-lipoic acid has been prescribed in Germany since the 1960s and studied on insulin sensitivity for more than 30 years, at 600 mg a day.
  • The R-form is the one your body makes and uses. The cheap 50/50 mix is half the wrong key, which is why “I tried alpha-lipoic acid once” usually means the wrong bottle.
  • In 2023, 236 specialists renamed fatty liver to put “metabolic” first. The condition is tied to how cells answer insulin, which is exactly what this molecule works on.
  • Fasting insulin is the number that moves first. A1C measures sugar, ALT measures damage. Neither measures the order to store. Ask for the third one.

If your scan says fatty liver and every blood test says “fine,” that contradiction is not a mystery. It is the one test nobody ran.

480+ Verified Reviews. Here Is What Other Women (And A Few Husbands) Say.

P
Pam H., 59Cincinnati, OH · Verified buyer
★★★★★

Asked for fasting insulin at my draw on Tuesday. Nurse gave me the same look. 24. A1C 5.5, “fine.” Two months on the four-pack: 15. First appointment in years I walked out of with a direction instead of a lecture.

👍 412 days ago
D
Diane K., 66Fort Wayne, IN · Verified buyer
★★★★★

Fourteen months of “we’ll monitor it.” I did the diet, I did the walking, and I was so tired of being told to keep going. Three capsules with coffee. Afternoons came back in week three, exactly like she said. Recheck is in January and for once I’m not dreading it.

👍 281 week ago
R
Roger M., 68Toledo, OH · Verified buyer
★★★★★

Wife sent me this. Metformin for 9 years, ALT flagged the whole time. Nobody ever put those two things in the same sentence. Kept the metformin, told my doctor, added this. Next panel, no flag. I’m not a supplement guy. I’m a “what did the number do” guy.

👍 331 week ago
C
Carol B., 61Dayton, OH · Verified buyer
★★★★★

I never drank a day in my life and got “fatty liver” on a gallbladder scan. The shame was the worst part. This was the first thing that treated it like a signal problem instead of a willpower problem. Ordered the four-pack, got my insulin number, and it moved.

👍 193 weeks ago
Linda
★★★★★
Linda, 64 ✓ Verified Buyer

“I was tired of buying liver supplements that all said the same thing: detox, cleanse, protect. What caught my attention with this was the focus on the metabolic side instead. I feel steadier and less run-down during the day, and for the first time I feel like I’m doing something that fits the bigger picture.”

Gretchen
★★★★★
Gretchen, 51 ✓ Verified Buyer

“I’d already changed my diet and was trying to be more active, but I had no idea whether anything was helping. After adding R-ALA I finally felt like I had another piece of the puzzle. Seeing my numbers move at the follow-up was the reassurance I needed.”

Jimmy
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Jimmy, 58 ✓ Verified Buyer

“My doctor kept telling me to lose weight, eat better and come back for another test, so that’s what I did. I added R-ALA because I wanted something that supported more than just the liver itself. Seeing progress at my follow-up was a huge relief.”

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A Promise You Can Hold Them To: 60 Days, Every Dollar Back

Here is the deal, in my words, because it is why I felt safe pressing the button.

Root of Nature does not want a dime from you unless this does for you what it did for me. So they give you 60 days. Take all three capsules every morning for the full 60 days, get your fasting insulin drawn once, and then decide.

If you do not want to keep going, for any reason, email them inside those 60 days and they refund every dollar. No forms, no phone tree, no “did you use it correctly.” Fewer than 1 in 50 people ask.

In other words, you only pay if it turns out to be the thing that finally moved the number. And from my kitchen table, I can tell you it was.

Root of Nature R-Alpha Lipoic Acid4th FREE
Buy 3 Bottles, Get 1 Free
Four bottles, 120 mornings · $0.58 a day. Less than the black coffee I take it with.
  • Helps your cells respond to insulin again, so sugar gets burned instead of parked in your liver
  • Pure R-form. The one your body makes. Not the 50/50 drugstore mix
  • 600 mg a day, the amount in 30 years of German trials, in three slow-release capsules
  • One ingredient on the front of the bottle. No blend. No “cleanse.”
  • Third-party tested, every batch · Ships from the USA
Claim Buy 3, Get 1 Free →
$0.58 a day · 60-Day Money-Back Guarantee · Third-Party Tested
60-day money-back guarantee

Take all three, every morning, for 60 days. Then decide. If you don’t want to keep going, email them inside those 60 days and every dollar comes back.

UPDATE: Root of Nature lab-tests every batch before it ships, so when one sells out, the next has to clear testing first. Their current batch cleared on September 18. If the button above works, the Buy 3, Get 1 Free is in stock.

What To Expect, If You Start Tomorrow

  1. Weeks 2–3: the afternoons change first. For me it was the nap I stopped needing.
  2. Your next blood draw: say five words, “Please add fasting insulin, too.” That is the number you watch. It moved for me by day 60.
  3. Your recheck: the scan. That is why the four-pack exists: it covers the mornings between today and that appointment.

This is for you if

  • Your labs are “fine” and the scan still says fatty liver
  • You have already done the diet and the walking
  • You are on metformin and your liver line is still flagged
  • You never drank and you are tired of the look
  • You have a recheck date and want a different word on it

This is NOT for you if

  • You want a cleanse, a tea, or a ten-day miracle
  • You will not take three capsules every single morning
  • You are not willing to ask for one extra blood test
  • You would rather hear “monitor” for another six months

Questions I Get Asked Most

“If this works, why didn’t my doctor tell me about it?”

Same reason nobody put fasting insulin on my panel. The standard form measures sugar and damage, not the order to store. And nobody patents a molecule your body already makes, so there is no rep in the waiting room. Dr. Patel is a good doctor. Bring him the printout, like I did.

“Isn’t this just the alpha-lipoic acid at Walgreens?”

No, and I owned that bottle. That one is a 50/50 mix, half of it the wrong key, usually 100 to 300 milligrams, gone in an hour. This is the R-form only, 600 milligrams, slow-release, one ingredient.

“Can I take it with metformin, a statin, or my other pills?”

Ray does. Tell your doctor everything you take, then take it with breakfast. It is a dietary supplement, not a drug, and it does not replace anything you have been prescribed.

“Why three capsules? The ad showed one.”

One is the picture. Three is the dose: 600 mg of the R-form, in three slow-release capsules, because the molecule is gone in about an hour and insulin knocks at every meal.

“How long before I know?”

Afternoons first, in two or three weeks. The number at your next blood draw, if you ask for fasting insulin. The scan at your recheck. Plan on the mornings in between.

“What if it doesn’t work for me?”

Then you email them inside 60 days and get every dollar back. I used mine for 47 days before I believed a word of it. You get the same room to be skeptical.

Sunday. Pancakes are back. My granddaughter asked if Grandma was better. This time I was sure.
Sunday. Pancakes are back. My granddaughter asked if Grandma was better. This time I was sure.

I did not need another lecture about weight. I needed someone to look at the hormone. Marlene did that for me on a walking path. This article is me doing it for you.

You have a recheck date. Everybody with this has a recheck date. The mornings between now and then are the only ones you get to use.

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P.S. It has been fourteen months. Still three capsules with my coffee, every morning, because the doors do not stay open on their own. My next recheck is in March. Ray is on his second four-pack.

P.P.S. Marlene and I still walk the loop. Last week a woman we did not know stopped us and asked what we had changed. I pulled up my two reports. Same word on the first one. A different word on the second.

Comments (3)

J
Janet W.2 days ago

Ordered after reading this at 1 AM, which I think was the point. Asked for fasting insulin Friday: 22. Nobody had ever run it. Thank you for the five words.

T
Tom S.5 days ago

Metformin 11 years here. ALT flagged the whole time. Does it interfere?

S
Susan H.author · 5 days ago

Tom, Ray takes both. Tell your doctor you are adding it, take it with breakfast, and bring the printout to your next panel.

Root of Nature R-Alpha Lipoic Acid is a dietary supplement and is not intended to diagnose, treat, cure or prevent MASLD/NAFLD, diabetes, insulin resistance or any other disease. It is not a replacement for medical care or any prescription medication. Keep your medical follow-up and talk to your physician or pharmacist before combining it with glucose-lowering medication. The story and results described are one customer’s experience and results vary. Root of Nature is compensated for sales made from this page.

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