My Mom just emailed me to ask for advice. My aunt is turning 70 and they want to get her a cake for the birthday party. However, it turns out she was just diagnosed with two serious liver problems. The first disease is called hemochromatosis, and it sounds like regular blood draining will help keep the high iron levels in check (though the damage is irreversible). The other problem is elevated fatty enzymes in her liver, and the doctor told her to immediately change her diet to no alcohol, low fat. She also wants to attempt to try to eat low carb. She's obviously really scared by the diagnosis and wants to try to stick really closely to this low carb/low fat diet so my Mom was hoping I might have a recipe for a cheesecake or something that would fit that diet (I've been a long time low-carber, though new to Paleo).

Leaving aside the fact that low carb/low fat seems like an unpleasant and impossible way to eat for very long (what's left, just protein and fiber?) I think I can adapt a recipe that would fit the bill for this one event, though just the idea of "fat free" cream cheese just makes me want to cry. However, I'd really like advice on a gentle way to steer my aunt (and probably my Mom too, for that matter) away from the low-fat prescription for fatty liver. It is my understanding that good dietary fat is not the cause of fatty liver, but alcohol and sugar are, though please correct me if I'm wrong. I've been doing a bit of searching around here and elsewhere and found some great articles to offer, but my main concern is not stepping on anyone's toes or appearing to insult the doctor since I'm not one. What's a good approach to this without starting trouble?