What is NAFLD ?
Non-alcoholic fatty liver disease ( NAFLD ) refers to the accumulation of fat in the liver, but not caused by alcohol. It affects approximately 25% of adults worldwide, with the figure reaching as high as 40% in the United States . Alarmingly, most patients experience no symptoms in the early stages.
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Two types of NAFLD
- Simple fatty liver : The liver only accumulates fat and is not yet inflamed.
- Fat-associated inflammation : Fat accumulation leads to liver inflammation, which further causes insulin resistance and fibrosis, potentially progressing to cirrhosis and even requiring a liver transplant.
Why are some things dangerous even when they are asymptomatic in the early stages?
Fatty liver damage is gradual; initial blood tests may be normal, and it may not be detected until liver enzyme levels rise. By then, the liver may already be severely damaged, and the optimal treatment window may have been missed.
Name update: from NAFLD to MAFLD
The medical community is currently renaming NAFLD to MAFLD (metabolic fatty liver disease), emphasizing its association with metabolic syndrome, including:
- hypertension
- High cholesterol
- High blood sugar
- Central obesity (abdominal fat)
The root cause of these problems is excessive insulin and insulin resistance.
Epidemiological data of NAFLD
- 90% of obese people suffer from fatty liver disease.
- 60% of diabetic patients have fatty liver.
- Even 20% of people with normal weight can develop fatty liver disease, most of whom have insulin resistance.
The relationship between insulin and fatty liver
One of the functions of insulin is to convert glucose into triglycerides (fat). High carbohydrate intake, especially fructose and Omega-6 vegetable oils (such as soybean oil, canola oil, corn oil, and cottonseed oil), can lead to elevated insulin levels, which in turn promotes fat accumulation in the liver.
NAFLD vs. Alcoholic Fatty Liver
Although their causes differ, both result in similar liver damage. Refined carbohydrates and vegetable oils are as damaging to the liver as alcohol.
How to reverse fatty liver?
- Understanding the Mechanism : Understanding the Relationship Between Insulin and Diet
- Adopt the right diet : Healthy ketogenic diet, intermittent fasting
- Avoid high-carbohydrate and vegetable oil foods : reduce insulin stimulation
- Regular check-ups : Reassess liver function every two to three months.
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Conclusion: Take action now.
Although fatty liver disease is asymptomatic, its consequences are serious. Most people can improve their liver health in a short period through dietary and lifestyle adjustments. Understanding the mechanisms and taking action are key to reversing fatty liver disease.
YouTube source: https://www.youtube.com/watch?v=6f2ESwOOvn4
YouTube Column: Dr. Berger in Chinese Health knowledge
