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Fatty liver disease treatment natural. Dr. Anton Titov, MD: Nonalcoholic fatty liver disease (NAFLD, nonalcoholic steatohepatitis) rate is increasing. Fatty liver disease ranges from 10% to 37% in some countries. Non-alcoholic fatty liver disease is associated with metabolic syndrome.
In San Francisco I talked to Dr. Robert Lustig MD about metabolic syndrome. Rates of Nonalcoholic fatty liver disease and metabolic syndrome are rising around the world.
What are common causes of nonalcoholic fatty liver disease? How to diagnose non-alcoholic fatty liver disease at earlier stage? What treatments are available for fatty liver disease?
Dr. Simon Robson, MD (Liver specialist, Harvard Medical School): Nonalcoholic fatty liver disease is associated with excess nutrition. Sugar, fructose and other foods precipitate problems with liver function and gut fat storage.
Nonalcoholic fatty liver disease develops in patients who also have insulin resistance and high blood sugar.
These people also have high lipid levels, high levels of uric acid, hypertension and truncal obesity. Nonalcoholic fatty liver disease shares risks with cardiovascular disease.
With respect to nonalcoholic fatty liver disease, 30 to 40 million Americans have some degree of fatty liver. Only a small proportion will develop inflammation in the liver. This inflammation is triggered by liver fat.
This inflammation process is called steatohepatitis. It can lead to scarring of the liver and development of liver cirrhosis.
Liver cirrhosis is the result of steatohepatitis (and fatty liver disease). Cirrhosis is a profound scarring of the liver associated with abnormal liver regeneration. Liver attempts to try and heal. This process can predispose to liver cancer (hepatoma).
When liver function tests begin to become abnormal, early diagnosis in patients with nonalcoholic fatty liver disease is possible. Body mass index (BMI) is usually elevated. Liver may be enlarged in patients with fatty liver disease.
It is important to intervene early in patients with nonalcoholic fatty liver disease. You have to correct the metabolic stress and make sure patients have balanced healthy diet.
Patients with fatty liver disease must lose weight, they must exercise and correct the metabolic stress. Then is possible to achieve full resolution of nonalcoholic fatty liver disease. Fatty liver can repair itself. (Steatohepatitis) can resolve, fatty liver can go back to normal.
When scarring of fatty liver occurs, only residual liver function remains. There is also a persistent risk of liver cancer in patients whose fatty liver disease reached the stage of scarring. So early diagnosis of fatty liver disease is important.
If you talk to patients with fatty liver disease, they are frequently obese. They also often have diabetes, family history of liver disease and other concurrent problems with metabolism or liver. Multiple hits on their liver causes fatty liver disease.
Such additional factors that damage the liver include: iron overload, genetic hemochromatosis, exposure to potential hepatotoxins (liver toxins), excessive use of non steroidal anti inflammatory medications (tylenol, paracetamol)
Dr. Anton Titov, MD: Acetaminophen, paracetamol, tylenol. Non-steroidal anti-inflammatory medications (NSAIDs) hide under a lot of brand names. People use them more and more, often in excessive doses.
Dr. Simon Robson, MD: Non-steroidal anti-inflammatory medications cause more acute liver injury. But certainly a patient who take medications which can provoke long-term liver problems. (and worsen nonalcoholic fatty liver disease).
Any medication should be prescribed in a dose that is not toxic. Taking any medication must be monitored adequately. Medications should be used only for correct indications.

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Fatty liver disease treatment principles. Top expert in liver disease shares his view on importance of early diagnosis of subclinical fatty liver disease.