Severe fatty liver patients can not be controlled by exercise alone, but need to combine with dietary adjustment and medication to improve. 1. Adjusting diet: patients with severe fatty liver should not eat greasy, high-fat and high-calorie food, such as fatty meat, pig’s feet and so on. 2. Exercise: patients should insist on all kinds of physical exercise, but try to do aerobic exercise, such as jogging or swimming. Aerobic exercise can not only enhance the body’s resistance and disease resistance, but also can effectively relieve a series of adverse symptoms caused by severe fatty liver. 3. Drug treatment: you can use lipid-lowering drugs as prescribed by doctors, such as elastase enteric-coated tablets, which can promote cholesterol excretion, lower cholesterol, prevent cholesterol deposition in the liver, and alleviate fatty liver. If patients have severe fatty liver, they cannot rely solely on exercise for relief and need to actively cooperate with doctors for comprehensive treatment. Drugs need to be used under the guidance of a doctor.