The "Silent" Sign Your Liver is Struggling (And How to Fix It)

https://www.dralexnewsletter.com Join the community by signing up to my daily newsletter! Practical health advice, straight to your inbox, every morning. Could the tiredness you have been putting down to age, work and broken sleep actually be a signal coming from your liver? This video is about the most common chronic liver condition in the world, now renamed MASLD or metabolic dysfunction associated steatotic liver disease, and the early signs that almost nobody connects to the liver, including flat persistent fatigue, darkened velvety patches in the skin folds and clusters of skin tags. I explain what sugar, refined carbohydrate and high insulin are actually doing inside the liver, why fructose behaves so differently from every other sugar, and which blood tests to ask your GP for so you know exactly where you stand. I then go through the practical part in the order I would tackle it myself. That means starting with the liquid sugar that reaches the liver fastest, then the refined carbohydrate hidden in a typical British or American day of eating, then the walking and strength work that changes how your body handles glucose for the rest of your life. The liver is one of the most forgiving and regenerative organs you own, and in clinical practice liver blood tests really do come back towards normal once the pressure on it is taken away. If you have been told your liver function tests are slightly raised, or you simply want to protect an organ that carries out hundreds of jobs for you every day, this gives you a clear order of priority and a plan you can realistically hold for decades rather than four weeks. What you'll learn in this video: -The most common symptom that can point to a struggling liver -The visible skin changes that suggest insulin has been running high for years -Why this condition now affects roughly a third of adults worldwide -How the liver turns surplus sugar into brand new fat, and what that process is called -Why fructose in liquid form lands so much harder than other sugars -Which blood tests to request, and what ALT, AST and HbA1c actually tell you -How much weight loss the research suggests is needed to clear fat from the liver -Which smoothies are fine and which ones are causing the problem -Why walking after meals and lifting weights protect the liver in different ways -How often to recheck your bloods once you have made changes TIMESTAMPS 00:00 – Introduction 02:48 – The silent sign itself 07:18 – What's actually going on underneath 09:50 – The role of fructose 12:45 – Step one, get it checked properly 15:32 – Step two, how to actually reverse it 21:27 – It's all one connected story REFERENCES The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review https://pubmed.ncbi.nlm.nih.gov/36626630/ A multisociety Delphi consensus statement on new fatty liver disease nomenclature https://pubmed.ncbi.nlm.nih.gov/37364790/ Fructose- and sucrose- but not glucose-sweetened beverages promote hepatic de novo lipogenesis: A randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/33684506/ Weight Loss Through Lifestyle Modification Significantly Reduces Features of Nonalcoholic Steatohepatitis https://pubmed.ncbi.nlm.nih.gov/25865049/ Effect of aerobic exercise training dose on liver fat and visceral adiposity https://pubmed.ncbi.nlm.nih.gov/25863524/ Resistance exercise reduces liver fat and its mediators in non-alcoholic fatty liver disease independent of weight loss https://pubmed.ncbi.nlm.nih.gov/21708823/ The Acute Effects of Interrupting Prolonged Sitting Time in Adults with Standing and Light-Intensity Walking on Biomarkers of Cardiometabolic Health in Adults: A Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/35147898/ Omega-3 supplementation and non-alcoholic fatty liver disease: a systematic review and meta-analysis https://pubmed.ncbi.nlm.nih.gov/22023985/ Coffee, including caffeinated and decaffeinated coffee, and the risk of hepatocellular carcinoma: a systematic review and dose-response meta-analysis https://pubmed.ncbi.nlm.nih.gov/28490552/ The beneficial effects of Mediterranean diet over low-fat diet may be mediated by decreasing hepatic fat content https://pubmed.ncbi.nlm.nih.gov/31075323/ Accuracy of FibroScan Controlled Attenuation Parameter and Liver Stiffness Measurement in Assessing Steatosis and Fibrosis in Patients With Nonalcoholic Fatty Liver Disease https://pubmed.ncbi.nlm.nih.gov/30689971/ Disclaimer: This is not personal medical advice and does not override what your doctor says. If your liver blood tests are abnormal, please see your own doctor so that other causes can be examined and ruled out first. #dralex #doctoralex #fattyliver #liverhealth #insulinresistance #metabolichealth