Skip to content
Cartoon endoscope logoDoctor Kichian'sGastroenterology
Call
Liver

Fatty Liver Disease

Metabolic dysfunction–associated steatotic liver disease (MASLD, formerly NAFLD) is the most common liver disease worldwide. Detected early, it is often reversible with targeted lifestyle changes.

Ask your family doctor to referSee related services

Symptoms

  • Often asymptomatic — detected on blood tests or imaging
  • Occasionally: fatigue, mild right-upper abdominal discomfort
  • Advanced disease: signs of cirrhosis

Possible causes

  • Metabolic syndrome, obesity, type 2 diabetes
  • High-calorie, high-sugar dietary patterns
  • Certain medications
  • Genetic predisposition

How we diagnose

  • Liver enzymes and metabolic profile
  • Non-invasive fibrosis scores (FIB-4)
  • Elastography (transient or MR) to assess fibrosis stage
  • Liver biopsy in selected cases

Treatment options

  • Structured weight reduction (7–10% of body weight)
  • Mediterranean-style dietary pattern
  • Physical activity and management of metabolic risk factors
  • Emerging pharmacologic therapies for select patients

Lifestyle & prevention

  • Minimize sugar-sweetened beverages and ultra-processed foods
  • Alcohol moderation or avoidance
  • Coordinate with primary care for diabetes and lipid management