Elevated liver enzymes can signal liver cell damage or abnormal liver function. If left untreated, the condition may progress to more serious issues such as hepatitis or cirrhosis. Experts recommend consulting a gastroenterologist or hepatologist for timely intervention to prevent complications.

According to Dr. Nguyen Anh Duy Tung, a nutritionist at Nutrihome Nutrition Center, a well-balanced, science-backed diet plays an important role in managing and reducing elevated liver enzyme levels. Below are five fruits and vegetables that can support healthy liver function.

1. Citrus fruits

Oranges, grapefruits, mandarins, and limes are rich in vitamin C and antioxidants like beta-carotene, flavonoids, and lycopene. These compounds help protect liver cells from inflammation and oxidative stress.

The fiber content in citrus fruits also aids detoxification, easing the liver’s workload, improving fatty liver symptoms, and contributing to lower enzyme levels.

2. Avocados

Packed with omega-3 fatty acids, avocados help regulate cholesterol and reduce liver fat. They also provide abundant vitamin E, a potent antioxidant that shields liver cells from free radical damage. Regular consumption of avocado may help reduce liver enzyme levels and the risk of liver inflammation.

3. Berries

Berries such as blueberries, strawberries, raspberries, blackberries, and pomegranates are high in vitamins A, C, and E, as well as polyphenols—natural compounds with strong antioxidant effects. These nutrients help prevent cell damage, protect liver cells, and may reduce the risk of disease progression in people with liver disorders.

4. Garlic

Garlic contains antioxidants like allicin, sulfur compounds, and polyphenols that stimulate the breakdown of liver fat and enhance lipid metabolism. Individuals with fatty liver- enzyme elevation may benefit from incorporating garlic into daily meals or eating a few cloves each day.

5. Dark leafy greens

Vegetables such as spinach, bok choy, and morning glory are rich in antioxidants like flavonoids, carotenoids, and sulforaphane, which help protect liver cells from oxidative damage.

These greens are also high in fiber, vitamin C, and folate, which aid digestion and overall liver function. Morning glory, in particular, provides carotene, vitamin C, and iron—all of which contribute to enzyme reduction and immune support. Meanwhile, cruciferous greens contain indole compounds that help prevent and reduce fatty liver.

Dr. Tung recommends drinking 1.5 to 2 liters of water per day—unless restricted by a physician—to aid detoxification. Maintaining a healthy weight, engaging in regular moderate exercise, and avoiding excessive sugar, saturated fats, alcohol, and tobacco are also essential for liver wellness. Vaccination against hepatitis viruses and seasonal flu can further reduce the risk of complications.

Natural extracts such as Silybum marianum (milk thistle) and Wasabia have also shown promise in supporting liver function. These botanicals help regulate the activity of Kupffer cells—liver-resident immune cells—reducing inflammation, boosting detoxification, and promoting lower liver enzyme levels.