Mixed

Patients with non-alcoholic steatohepatitis (NASH) exhibit a significantly lower relative abundance of Bacteroidetes in their intestinal microbiota compared to healthy controls and those with simple steatosis, an association that persists independently of BMI and dietary fat intake.

If you have NASH, your gut bacteria profile is likely distinct from healthy individuals, specifically showing lower levels of Bacteroidetes. This difference is not just because of being overweight or eating fat, but is linked to the liver inflammation itself. While this paper doesn't prescribe a fix, it highlights that restoring gut balance (potentially through fiber or specific prebiotics that support Bacteroidetes) might be a relevant therapeutic avenue to discuss with your hepatologist, separate from weight loss efforts.