What is fatty liver disease?
It's when too much fat builds up in the liver. Doctors now call the most common type MASLD (metabolic dysfunction-associated steatotic liver disease), because it's closely linked to excess weight, type 2 diabetes, high cholesterol and high blood pressure, rather than to alcohol. Over many years, it can lead to inflammation and scarring of the liver in some people.
Who is at higher risk?
People with type 2 diabetes or prediabetes, excess weight (especially around the waist), high triglycerides or high blood pressure. South Asian adults are at higher risk, even at a lower body weight.
How we help
- Liver blood tests: to look for inflammation and check how your liver is working.
- Checking for scarring: we use your routine blood test results to estimate the risk of liver scarring, and arrange an ultrasound or a liver stiffness scan when needed.
- Ruling out other causes: such as alcohol, medicines, hepatitis and other liver conditions.
- A plan to improve your liver: losing even 7 to 10 percent of your body weight can reduce liver fat and inflammation. We help with a realistic plan, and with medical weight loss when appropriate.
- Treating related conditions: diabetes, cholesterol and blood pressure, which all affect the liver.
- Vaccines: hepatitis A and B vaccines to protect your liver.
- Referral when needed: to a liver specialist if there are signs of significant scarring. Newer medicines are now available for some people with more advanced disease.
What you can do
- Cut back on sugary drinks, sweets, white rice, white bread and fried foods
- Aim for at least 150 minutes of activity a week, such as brisk walking
- Limit or avoid alcohol
- Don't start herbal or "liver cleanse" supplements without asking us first, as some can harm the liver
Frequently asked questions
Can fatty liver be reversed?
Often, yes. Losing weight, staying active, controlling diabetes and limiting alcohol can reduce liver fat and inflammation, especially when it's caught early.
I feel fine. Why should I worry about fatty liver?
Fatty liver usually causes no symptoms until it's advanced. Finding it early gives you the best chance of reversing it and preventing scarring.
How is fatty liver found?
Usually on a routine blood test that shows raised liver enzymes, or on an ultrasound done for another reason. We can check your risk with simple tests.
Is my insurance accepted?
We accept most major plans, including Medicare and NJ FamilyCare. Call to confirm your specific plan.