Obesity and NAFLD: what to know

NAFLD means fatty change in the liver not primarily explained by alcohol. It is linked with insulin resistance and other metabolic changes, and it can occur with Obesity, prediabetes, Type 2 Diabetes, or Hypertension. Many people have no symptoms, so feeling well does not show whether the liver is healthy.

NAFLD is a broad term. Some people have simple fat accumulation, while others develop inflammation and fibrosis, meaning scar tissue. Blood tests and imaging can help, but symptoms and a single test may not show the whole picture.

Ask a clinician to review liver tests, glucose, cholesterol, blood pressure, alcohol intake, medicines, and supplements. They may use an ultrasound or another scan and decide whether further assessment is needed.

Aim for sustainable habits: regular activity, more vegetables and fibre, appropriate portions, fewer sugary drinks, and a sleep routine that works for you. Avoid rapid weight-loss plans and unverified liver cleanses. If you have diabetes or take regular medicines, coordinate changes with your care team.

Book a review for persistent right-upper-abdominal discomfort, unexplained tiredness, yellow skin or eyes, or abnormal liver tests. Seek urgent help for severe confusion, vomiting blood, black stools, rapidly swollen abdomen, or sudden severe abdominal pain.

Does my assessment suggest simple fat accumulation, inflammation, or fibrosis? Which tests should be repeated? How should I manage food, activity, alcohol, glucose, and medicines together?