Nonalcoholic Fatty Liver Disease: Diabetes, obesity and excessive alcohol use are probable causes

Nonalcoholic Fatty Liver Disease: Diabetes, obesity and excessive alcohol use are probable causes

Fatty LiverIt’s typical for patients not to experience symptoms with NAFL

Is fatty liver disease hereditary: Nonalcoholic Fatty Liver disease is one of the most common things that comes into a doctors office that is associated with asymptomatic elevated liver function tests. The disease is not hereditary but it is very very common. It’s usually a part of a metabolic syndrome that involves either excessive alcohol use, diabetes, obesity and or hyperlipidemia specifically very high triglycerides. You do not have to be fat to have this but most people are obese.

How does NAFL develop: The problem has to do with insulin in the liver and how carbohydrates are handled. It really has no symptoms. No one walks into my office and says, “I think I have fatty liver.” It is usually found on routine laboratory evaluations, possibly seen on a routine sonogram that gives a very particular echo pattern that radiologist recognizes as fatty liver.

Can milk thistle help and what are the effects of tylenol: Milk thistle is a natural product that is used extensively in Europe. I can safely say that Milk Thistle does not do any harm but there is no evidence that it ever helps. Usually this question is asked in relation to Hepatitis C. Tylenol cannot cause this problem and you do not have to worry about taking Tylenol with fatty liver.

- Dr. C. Raymond Cottrell, M.D., Gastroenterologist

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