Fatty Liver Disease: The Silent Epidemic
Up to 25% of adults are affected, often unknowingly.
Dr. Yann Beaumont
Gastroenterologist
Fat accumulation alone is usually benign, but 20% develop steatohepatitis with inflammation, fibrosis, and risk of cirrhosis.
Diagnosis
Often discovered incidentally on imaging or via elevated liver enzymes. Non-invasive scores (FIB-4) and elastography assess fibrosis risk.
Treatment
- Weight loss of 7-10% reverses inflammation
- Mediterranean diet and physical activity
- GLP-1 analogs and resmetirom for advanced disease
- Treat coexisting diabetes, hypertension and dyslipidaemia aggressively
Coffee and exercise
Two to three cups of coffee daily and regular exercise reduce progression independently of weight.
Even modest weight loss (5%) measurably reduces liver fat and inflammation.
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