Metabolic dysfunction‑associated steatotic liver disease (MASLD), historically known as Non‑alcoholic fatty liver disease (NAFLD), is often called a “silent” disease — many people never notice anything is wrong.
But when symptoms do show up, they tend to be subtle. Early awareness can help you address the issue before it evolves into more serious liver damage.
Why Fatty Liver Is Often “Invisible”
- MASLD/NAFLD causes no obvious symptoms in many cases — often only detected via bloodwork or imaging.
- Because it develops gradually, people often don’t suspect liver involvement until later.
Most Common Early Warning Signs of Fatty Liver
- Persistent fatigue or low energy*
- Dull ache or discomfort under the right ribs
- General “unwell” feeling or lethargy
- Blood tests (e.g., ALT/AST)
- Imaging: Ultrasound, CT, MRI, Fibroscan
- Insulin resistance or type 2 diabetes
- High triglycerides or low HDL cholesterol
- Sedentary lifestyle and low confidence in diet
- Move your body more
- Get a Fibroscan to assess liver fat levels
- Adopt a high polyphenol Mediterranean diet
- Work with a professional for guidance & accountability
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Andy De Santis RD MPH
