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Orthopaedic Dr Shagun Agarwal recently shared that, unlike what is believed, fatty liver is not always connected to alcohol consumption. This is where MASLD or Metabolic Dysfunction-Associated Steatotic Liver Disease comes into play. Detailing the case of the person who “came for just a routine check-up” with mild acidity, some bloating after meals, and “this strange, constant tiredness that wouldn’t go away”, Dr Shagun said, “His ultrasound report came. Fatty Liver Grade 2.”
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He chuckled and said, “But I’ve never touched alcohol in my life…” Confused. Shocked. Almost guilty for something he never did.
But the doctor didn’t laugh. He simply said: “It’s not always the bottle… sometimes, it’s the lifestyle.”
Dr Shagun rued that no one talks about this. “Non-Alcoholic Fatty Liver Disease (NAFLD) or MASLD is now affecting 1 in 3 Indians — including teetotalers, vegetarians, even college students,” said Dr Shagun in a post on Instagram.
Because it’s not about alcohol, but…
*Skipping breakfast and bingeing late at night
*Sitting 8+ hours a day with zero movement
*Sugary chai 4 times a day, thinking “it’s just tea”
*Sleeping at 2 AM and waking up tired every day
*That daily dose of oily food, sweets, and no fibre
According to Dr Shagun, the patient’s liver was inflamed. “His enzymes were rising. And if he hadn’t caught it now, the damage could’ve been irreversible. It could’ve gone to NASH, then fibrosis, and finally, cirrhosis – a silent killer that shows no warning signs until it’s too late.”
Sleep also plays a crucial role (Photo: Pexels)
The doctor also shared that the patient made the requisite changes in his diet.
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“But this story doesn’t have to end in fear. Because he took control. He got the right tests. He changed his diet. He walked every day. He learned what his body was silently trying to say,” said Dr Shagun.
Metabolic dysfunction-associated steatotic liver disease (MASLD) can happen even if a person has never touched alcohol, noted Dr Manjusha Agarwal, senior consultant, internal medicine, Gleneagles Hospital Parel Mumbai.
“This is so because this condition is often associated with metabolic factors rather than alcohol use. So, don’t be surprised or shocked, as even non-alcoholics can suffer from MASLD. Moreover, many people who haven’t had a single drop of alcohol in the age group 25-40 are now seeking help. Common causes include being overweight, having diabetes or prediabetes, high cholesterol, high blood pressure, and an unhealthy lifestyle with little physical activity,” said Dr Manjusha.
Eating a diet high in sugars, refined carbs, and unhealthy fats can also lead to fat buildup in the liver and raise the chances of suffering from this condition.
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According to Dr Manjusha, genetics may play a role, making some people more likely to develop it even if they are adhering to a well-balanced diet. “Over time, this excess fat in the liver can cause inflammation and damage, just like in alcohol-related liver disease, and impact the overall well-being,” said Dr Manjusha.
Dr Narander Singla, lead consultant, internal medicine, CK Birla Hospital, Delhi, also noted that certain health conditions, such as polycystic ovary syndrome (PCOS), can increase the risk of MASLD.
The good news is that MASLD can often be managed and even reversed with pivotal strategies such as healthy eating, regular exercise, weight control, and managing blood sugar and cholesterol levels under a doctor’s guidance, said Dr Manjusha. “It is the need of the hour for everyone to pay attention to liver health and improve their quality of life. Don’t take your liver health for granted at all,” said Dr Manjusha.
Lifestyle changes to prevent or manage MASLD
Dr Singla suggested the following measures:
– Maintain a healthy weight: Losing weight, if needed, can help reduce liver fat.
– Eat a balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, and lean proteins.
– Exercise regularly: Regular physical activity can improve insulin sensitivity and reduce liver fat.
– Manage stress: Chronic stress can exacerbate MASLD; engage in stress-reducing activities like yoga or meditation.
DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
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