Fatty Liver & Metabolic Liver Disease copertina

Fatty Liver & Metabolic Liver Disease

Fatty Liver & Metabolic Liver Disease

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 Understanding Fatty Liver & Metabolic Liver DiseaseIn this informative episode, Dr. Kari Fabian and Maura Romanshek, PA-C, break down the silent rise of metabolic liver disease, formerly known as non-alcoholic fatty liver disease. They explain how it’s connected to obesity, diabetes, and high-fructose diets—and why more Americans (including kids!) are being diagnosed earlier.Listeners will also learn about the FibroScan machine available at Stellis Health, a non-invasive test that helps detect liver stiffness before it leads to irreversible damage.Key TakeawaysFatty liver is often silent, meaning you could have it and not know it.The FibroScan test at Stellis Health helps detect early risk and prevent disease progression.Fructose-heavy diets, especially high-fructose corn syrup, are key drivers of liver damage.Early lifestyle changes and targeted medications can significantly improve or reverse liver disease.You don’t need dramatic weight loss to improve liver health—just consistent, practical steps.Episode Highlights (Timestamps)[00:00:00] – Introduction with Pete Waggoner, Dr. Kari Fabian, and Maura Romanshek, PA-C[00:01:15] – Dr. Fabian shares her background and passion for diabetes care[00:02:30] – Maura discusses her transition from family medicine to diabetes and weight management[00:04:20] – Understanding what metabolic liver disease is and how it differs from alcoholic liver disease[00:06:10] – What happens to the liver when fat builds up over time[00:07:45] – Surprising discovery: fatty liver is showing up in children[00:09:00] – The impact of diet, especially high-fructose corn syrup, on liver health[00:12:20] – The silent nature of fatty liver—how it often goes undetected without symptoms[00:14:15] – The importance of screening and using the FIB-4 score[00:16:00] – Introducing the FibroScan: what it is and how it works[00:18:45] – Lifestyle changes that help reverse fatty liver disease[00:21:30] – Fructose in fruit vs. processed foods—what’s safe and what’s harmful[00:24:20] – The role of coffee and tea in liver health[00:26:00] – How Stellis providers meet patients where they are in their health journey[00:28:15] – Available medications and why early detection is key[00:30:00] – Encouragement for listeners to ask about screening at their next appointmentResources MentionedStellis Health Diabetes CareDr. Kari Fabian, MD – Internal Medicine & Diabetes Care Dr. Fabian is a board-certified internist and lipidologist with over 25 years of experience. She specializes in diabetes care and complex lipid disorders, practicing at Stellis Health’s Buffalo and Monticello clinics.Maura Romanshek, PA-C – Diabetes & Weight Management Maura is a board-certified physician associate focusing on diabetes and weight management. She practices at Stellis Health’s Monticello and Buffalo clinics.Stellis Health Liver Health & FibroScan Services Learn more about Stellis Health’s liver health services and the FibroScan technology used for non-invasive liver assessments.Book an appointment at Stellis HealthMore on Metabolic Liver Disease – CDCMemorable Quotes"It's estimated that 25 to 30% of U.S. adults have some degree of fatty liver disease." – Maura Romanshek, PA-C"Fructose in whole fruit is fine. It's the industrial high-fructose corn syrup that's harming your liver." – Dr. Kari Fabian"The liver is remarkable—it can heal itself. But only if we catch damage early." – Maura Romanshek, PA-C"We’re finding signs of fatty liver in children as young as kindergarten." – Dr. Kari Fabian"Screening for liver disease should be as routine as checking blood pressure or cholesterol." – Dr. Kari Fabian
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