Fatty Liver
Description
Fatty liver, also known as non-alcoholic fatty liver disease (NAFLD), is the most common liver condition in the U.S. and a key indicator of metabolic dysfunction. It's characterized by fat accumulation in liver cells, even in people who drink little to no alcohol. If left untreated, it can progress to NASH (non-alcoholic steatohepatitis), fibrosis, or cirrhosis. Functional medicine views fatty liver as a reversible condition driven by poor blood sugar regulation, inflammation, mitochondrial dysfunction, and toxin overload. By correcting diet, addressing insulin resistance, and supporting liver detox pathways, patients often see significant improvement or full reversal.
Symptoms
Often asymptomatic
Fatigue or sluggishness
Discomfort in the upper right abdomen
Brain fog
Bloating or gas
Elevated liver enzymes on labs
Weight gain, especially around the midsection
Hormonal imbalances
High cholesterol or triglycerides
Labs & Testing Options
ALT, AST, and GGT (liver enzymes)
Ultrasound or FibroScan (to assess liver fat)
Fasting insulin and glucose
Hemoglobin A1c
Lipid panel
hs-CRP (inflammation)
Ferritin and iron saturation
Organic acids (mitochondrial function)
Treatment Options
Low-carb, Mediterranean, or Paleo-style diet
Intermittent fasting or time-restricted eating
Berberine, NAC, and milk thistle (liver support)
Inositol and omega-3 fatty acids
Addressing gut health and microbiome imbalances
Exercise (especially resistance and walking after meals)
Castor oil packs, sauna, and lymphatic drainage
Toxin reduction (plastics, alcohol, processed foods)
Silent but serious—let’s reverse fatty liver through simple lifestyle upgrades and targeted detox support.