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Fatty Liver Disease – FAQs

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Disclaimer: This is general health information only and is not a substitute for advice from your GP or healthcare professional.

1. What is fatty liver disease?

Fatty liver disease is a condition where excess fat accumulates in liver cells. It is common and often detected incidentally on blood tests or imaging. In early stages, liver function may remain normal.

2. What causes fatty liver disease?

Fatty liver disease is most commonly linked to overweight or obesity, insulin resistance, type 2 diabetes, high cholesterol, and metabolic syndrome. Alcohol-related fatty liver is caused by excessive alcohol intake, while non-alcoholic fatty liver disease (NAFLD) occurs in people who drink little or no alcohol.

3. What are the symptoms of fatty liver disease?

Many people have no symptoms, especially early on. Some may experience persistent fatigue, reduced energy, or a dull ache in the upper right side of the abdomen. Symptoms usually appear only if liver inflammation or scarring develops.

4. How is fatty liver disease diagnosed?

Diagnosis is based on blood tests showing abnormal liver enzymes, imaging such as ultrasound, and assessment of risk factors. Additional tests may be used to assess the degree of liver inflammation or fibrosis.

5. Is fatty liver disease serious?

For many people, fatty liver remains stable. However, in some, it can progress to inflammation (steatohepatitis), fibrosis, cirrhosis, liver failure, and increased liver cancer risk if not managed.

6. How is fatty liver disease treated?

There is no single medication cure. Treatment focuses on gradual weight loss, healthy diet, regular physical activity, limiting alcohol, and managing diabetes, blood pressure, and cholesterol.

7. Can fatty liver disease be reversed?

Yes. Early-stage fatty liver disease is often reversible, particularly with sustained weight loss and improved metabolic control. Even modest weight loss can significantly improve liver health.

8. What diet is recommended for fatty liver disease?

A diet rich in vegetables, fruits, whole grains, lean protein, and healthy fats, while reducing processed foods, sugary drinks, and saturated fats, is recommended. Consistency is key.

9. How often should fatty liver disease be monitored?

Monitoring depends on individual risk factors and severity. Regular blood tests and periodic imaging may be recommended to assess liver health and progression.

10. When should I see a doctor?

See a doctor if you have risk factors for fatty liver disease, persistent fatigue, abnormal liver tests, increasing abdominal discomfort, or concerns about liver health.