🫁Metabolic

Fatty Liver & NASH

1 in 3 Indians have it — most don't know

What is Fatty Liver & NASH?

Non-Alcoholic Fatty Liver Disease (NAFLD) is the hepatic manifestation of metabolic syndrome. When insulin resistance causes the liver to accumulate fat, it progresses through stages: simple steatosis → NASH (inflammation) → fibrosis → cirrhosis. The good news: early stages are fully reversible. The bad news: most people have zero symptoms until significant damage. ALT, GGT, and FIB-4 score are key screening tools.

Common Symptoms

Often completely silent
Fatigue and low energy
Right upper abdominal discomfort
Elevated liver enzymes on blood tests
Unexplained weight gain
Dark patches on skin

Root Causes

  • Insulin resistance (primary driver)
  • Excess fructose and refined carbs
  • Visceral obesity
  • Sedentary lifestyle
  • Genetic factors (PNPLA3 gene)
  • Gut microbiome disruption
  • Omega-3 deficiency

Natural Ingredients That Help

Evidence-based natural interventions supported by clinical research

🌿

Milk Thistle (Silymarin)

Hepatoprotective. Reduces liver inflammation and supports regeneration. 420mg/day standardized extract

🌿

Berberine

Reduces hepatic fat accumulation by 50% in studies. Improves insulin sensitivity driving the root cause

🐟

Omega-3 (EPA+DHA)

Reduces liver fat content by 30% at 2-4g/day. Anti-inflammatory in hepatic tissue

🛡️

NAC (N-Acetyl Cysteine)

Replenishes glutathione in the liver — the primary detoxification antioxidant

🌱

Vitamin E (d-alpha tocopherol)

800 IU/day improves NASH histology in the PIVENS trial. Reduces hepatic inflammation

Key Biomarkers to Track

ALTASTGGTFIB-4 ScoreFasting InsulinHOMA-IRTriglyceridesUltrasound/Fibroscan

When to See a Doctor

If ALT is above 30 (men) or 19 (women), or GGT is elevated. FIB-4 score above 1.3 requires further evaluation for fibrosis.

Related Conditions

Get Personalized Guidance

Our metabolic physician can create a targeted protocol for your specific situation.

Chat on WhatsApp