Nonalcoholic Liver Disease (NAFLD) is another form of disease that attacks the liver. In the past people assumed the only way to get cirrhosis of the liver was by abusing alcohol. This is not true and is now being recognized more and more. Due to the lack of understanding of how serious NAFLD is it is often misdiagnosed or even overlooked in blood tests. Many people have fatty liver disease and don’t even know it. It is believed that approximately 25% of the population could have elevated levels or has the disease already. Fatty liver disease has surpassed cirrhosis from alcohol related cases at this point. So, let’s look into a few things that may help identify or at least get you talking about it with your doctor.

First thing is to see your primary on a regular basis. Routine checkups can often detect situations before they arise. Blood Work! When you have your blood work done pay attention to at least these 2 numbers. The Asparate Aminotransferase (AST) and the Alanine Aminotransferase (ALT) can be found on my chart after blood work. If elevated your doctor may say your numbers are elevated let’s see about changing your Diet. Although your weight doesn’t necessarily mean you have fatty liver disease it can be a contributing factor. Fatigue is another sign that can be related to liver function. Your Liver is involved in supply your body with energy. So, if your liver is not functioning properly, you may feel tired or sluggish (This is why it is common when people drink too much the night before they feel hungover). Pain or discomfort in the upper right belly area. These are just a few examples of signs that a little more testing may be needed to clarify the situation.

As I stated before this is a disease that is often minimized based on individual tests. Many people have gone years with the disease and not known until it was too late. This brings up the importance of asking questions during checkups. NASH (Non-Alcoholic Steatohepatitis) is a progressive form of NAFLD and has recently taken a name change to MASH (Metabolic Dysfunction-Associated steatohepatitis). This means that the medical world has taken notice and learning what, why and how this disease can be treated. roughly 1.5% – 6.5% of the population have MASH and the projected increase by 2023 is upwards of A 65% increase on these numbers. If for any reason you have questions or concerns your first plan of action would be to request a referral to a hepatologist. Hepatologists specialize in livers, gallbladders and bile ducts.

The good news is if caught early enough NAFLD can be reversed. The Liver is an amazing organ that can regenerate and heal just by giving it some rest. You don’t have to cut out all the stuff you like but change the frequency and add some fruits and vegetables to your plate. Throw a lemon in your water or have an extra cup of coffee. Grille it once in a while instead of frying it. Go for a walk or play a sport. Exercise and diet can keep your liver healthy and happy! The last thought is never ignore or disregard the numbers or your gut feelings. See a hepatologist and verify for peace of mind.