Fatty Liver Disease can be Reversed

Fatty Liver Solution

Fatty Liver Solution is a newly updated book that provides people with an effective treatment for liver damage, and a list of healthy foods to restore their liver function quickly. The book is created by Duncan Capicchiano, a medical researcher with over 10 years of experience in healing hepatic diseases naturally. The Fatty Liver Solution is the achievement of Duncan Capicchianos practial experience when treating his fatty liver patients. Through this guide, the creator brings to readers specific information about symptoms, root causes of fatty liver disease, and solutions to face with this obstinate disease. This treatment does not involve prescription drugs, or any harsh diet. Continue reading...

Fatty Liver Solution Overview


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Author: Duncan Capicchiano
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The author has done a thorough research even about the obscure and minor details related to the subject area. And also facts weren’t just dumped, but presented in an interesting manner.

Purchasing this e-book was one of the best decisions I have made, since it is worth every penny I invested on it. I highly recommend this to everyone out there.

Fatty Liver Diet Guide

This Fatty Liver Diet Ebook by Dorothy Spencer reveals scientifically-proven healthy diet plans, body detox food recipes, and a lot of helpful recommendations from the top USs hematologists and dietitians to reverse fatty liver disease without using costly yet useless medications or dangerous surgeries. Its comprehensive and it gives valuable strategies to help reclaim your health and wellness. It will teach you how to avoid the foods that are unhealthy for your liver, which foods and supplements you should take to help reverse fatty liver disease, and what lifestyle changes you need to take to get back to health. For those who suffer from Fatty Liver Disease, you will find a treasure trove of helpful information inside the guide everything from eating the right diet to lifestyle changes and various techniques to reverse and manage the condition. Continue reading...

Fatty Liver Diet Guide Overview

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Author: Dorothy Spencer
Official Website: LiverDiet.com
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The Fatty Liver Bible & Ezra Protocol

The Ezra protocol is now socially proven in 22 countries and if you give me a couple of minutes of your time by the end of this page I will show you how you can use it to: First, eliminate the 4 chemical triggers that make it impossible to initiate the cleansing process. Second, flush the fat from your liver, unclog the sluggish cells and rejuvenate the liver to make it work like you were 20 Reverse the processes of toxic build-up that might be leaving 30 billion dead cells in your body every day while your liver is impaired. Reverse the chemical imbalances in your liver that put you at risk of developing that first cancer cell even while you are reading this. Tone and invigorate your liver using precise breakthrough techniques you cannot learn anywhere else. Awake and boost your metabolism that is dormant due to the fibrin build up in your blood caused by your impaired liver function. Start burning that fat like you never thought possible and get the body you always dreamt of. Your liver and your adrenal gland is all that is stopping you from doing this. It's the best kept secret of the fitness and weight loss industry. Clean your arteries that are clogged due of the protein build-up (the blood of a fatty liver sufferer is often as thick as yoghurt) and eliminate the risk of a heart attack or stroke that comes with the thick blood. Feel that vibrant health that you so desperately pursue. You have no chance of this while your liver is congested with fatty infiltrations. Eliminate the side effects of the fatty liver such as the rashes, skin discolorations and fatigue. Experience the new found hope. When I resolved my fatty liver I literally felt reborn.

The Fatty Liver Bible & Ezra Protocol Overview

Contents: EBook
Author: Debra Elkin
Official Website: www.fattyliver-bible.com
Price: $47.00

Fatty Liver Hepatitis And Cirrhosis

Chronic alcohol consumption can cause the deposition of excess triglycerol in the liver leading to a condition known as 'fatty liver'. This damage can lead to hepatitis and, if severe enough, to cirrhosis. The damage is thought to be due to the high concentrations of ethanal within the cell and if severe enough will result in cell death. Cell damage and death trigger an inflammatory response, i.e. infiltration of lymphocytes and activation of an immune response. If this is not treated it will lead to the formation of fibrous tissue and a severe reduction in the functioning of the liver.

Nafld As A Cardiovascular Risk Factor

Data is emerging that NAFLD is an independent risk factor for vascular disease, which is the most common cause of death among patients with diabetes (1). Patients with NAFLD have a greater carotid intima-media thickness as well as a higher prevalence of carotid atheromatous plaques (51). The presence of NAFLD among patients with type 2 diabetes is associated with an increased risk of developing vascular disease, which is only partly associated with the presence of the metabolic syndrome (52,53). Similarly, ALT is independently predictive of the development of coronary heart disease (54). The mechanisms through which NAFLD may result in increased vascular disease are unclear and it is difficult to distinguish whether this is an association with the abnormal metabolic milieu that occurs in association with NAFLD or whether it is related to the increased lipid oxidation, inflammation and abnormal hepatic lipid metabolism that occurs with NAFLD. Certainly, lipid profiles among diabetics...

Nafld As A Risk Factor For Diabetes

The liver plays a key role in glucose homeostasis in the body and thus may contribute to the development of diabetes mellitus. Accumulation of hepatic steatosis impairs insulin signaling resulting in hepatic insulin resistance (18). Consequently, patients with NAFLD are more insulin-resistant than age-, gender- and BMI-matched controls (48). Raised aminotransami-nases (a marker of NAFLD) are well-established to increase the risk of developing diabetes three to sixfold (49). Similarly, patients who gain weight tend to develop abnormal liver tests before glucose intolerance is detected (50). Thus, accumulation of visceral and hepatic fat may be important and sequential steps in the development of type 2 diabetes.

Metabolic fluxes in healthy liver

Despite its low natural abundance of 1.1 , 13C can be used to measure hepatic glycogen (Rothman et al. 1991 Gruetter et al. 1994). Healthy liver usually presents with a glycogen concentration in the range of 200-400 mmol l tissue. A large homogenous tissue volume close to the body surface can be well covered by an appropriate MR surface coil. Hepatocytes, which primarily account for glycogen metabolism, are distributed isotropically and represent 80 of the parenchymal volume of the liver. The rib cage, abdominal muscles and subcutaneous fat layers present anatomical obstacles that can lead to contamination of the MR signal. To overcome this, a suitable localisation technique has to be chosen. Traditionally, adapted one-dimensional inversion based or one-dimensional chemical shift imaging techniques, combined with use of surface MR probes, are applied to either suppress unwanted

Can Weight Loss and Exercise Improve NAFLD

In general studies examining the effect of weight loss in fatty liver disease have been uncontrolled or of short duration, providing limited guidance for long-term management. Most have not used sophisticated measurements to assess insulin secretion or action, nor performed liver biopsies before and after to correlate weight loss with histological improvement, but have rather used surrogate markers such as liver transaminases or imaging. It is also unclear what kind of exercise would best improve hepatic insulin sensitivity and or lead to the greatest loss of liver fat or histological improvement. It is also evident that until we better understand the mechanisms that lead to hepatic steatosis, inflammation, and fibrosis, exercise prescriptions (frequency, duration, what kind of exercise program, etc.) in NAFLD will not have a clear target and will remain rather empiric. Beyond these limitations, there appears to be benefit from lifestyle modification involving increased physical...

Why do Obesity TDM and Nafld Cluster The Liver as the Metabolic Sensor of Lipotoxicity

Lifespan of patients with NAFLD is significantly shortened not only by a liver-related morbidity but also by a higher incidence of CVD (285, 286). As with obesity and T2DM, there is also considerable concern that NAFLD and NASH are reaching epidemic proportions (287) . However, the true magnitude of the disease is not appreciated by many clinicians because the majority ( 70 ) of patients affected have normal liver enzymes (279, 288-290). It has been recently estimated that fatty liver disease affects 1 3 of the adult population or 80 million Americans, and as many as 2 3 of obese subjects in the United States (278, 279, 288). In a large population-based study (n 2,287 subjects) performed in Dallas, Texas, in which liver fat was evaluated by means of the gold-standard MRS technique, 34 of the population had a fatty liver, being much more common in Hispanics (45 ) compared to whites (33 ) and African-Americans (22 ) (288). That adult Hispanic are affected more than Caucasians and...

Adipose Tissue as an Endocrine Organ

The link between abnormal fat cells and inflammation. Adipocytes develop from preadipocytes present in adipose tissue and their main mission has classically been restricted to the regulation of triglyceride storage and overall body energy metabolism by the secretion of hormones such as leptin. The observation by Hotaqmisligil et al. (123) and Feinstein et al. (124) that the fat-derived proinflammatory cytokine TNF-a could induce insulin resistance was a radical departure from the classical view of adipose tissue. While the role of TNF-a to induce insulin resistance in humans with T2DM remains controversial, nevertheless the realization that adipocytes were actively involved in the secretion of many inflammatory cytokines previously believed to be secreted only by macrophages - or simply unknown - opened a new horizon in the understanding of insulin resistance, obesity and T2DM i.e., TNF-a. IL-6, resistin, monocyte chemoattractant protein-1 (MCP-1), plasminogen activator inhibi-tor-1...

Pathogenesis And Pathophysiology

The pathogenic mechanisms that lead to NAFLD are complex and not completely understood. Insulin resistance and accompanying metabolic abnormalities appear pivotal in the development of hepatic steatosis as well as contributing to hepatic inflammation and fibrosis. Hepatic triglyceride accumulation subsequently leads to hepatic insulin resistance by interfering with tyrosine phosphorylation of insulin receptor substrates 1 and 2 (18). This may potentially exacerbate systemic insulin resistance creating an escalating cycle of insulin resistance leading to NAFLD, which worsens insulin resistance providing further stimulus for hepatic fat accumulation. Hepatic lipid accumulation does not universally result in hepatocellular injury, indicating that additional secondary insults are important (19). Insulin resistance and associated metabolic disturbances in adipose-derived factors including FFA, tumor necrosis factor-a (TNF-a), leptin and adiponectin have been implicated in contributing to...

Rosiglitazone And Pioglitazone

They usually take a few days to work, so you should not expect glucose levels to fall for at least a week or two. The medicine does depend on having enough insulin to be effective. In addition to their glucose-lowering effect, thiazolidinediones lower triglycerides and free fatty acid levels and raise total cholesterol, LDL cholesterol, and HDL cholesterol. Pioglitazone, when compared to rosiglitazone, is more effective in lowering triglycerides and raising HDL cholesterol. It also does not raise LDL cholesterol as much as rosiglitazone does. Since lipid abnormalities are associated with heart disease, it has been proposed that the lipid changes seen with these drugs (especially pioglitazone) might be beneficial. In small research studies these drugs have been shown to prevent the reblockage of coronary arteries after they have been opened with a procedure called coronary angioplasty. These medicines also seem to help fatty liver, an important abnormality found in many people with...

Role of Mitochondrial Dysfunction in Muscle Insulin Resistance

Our group, Richardson et al. (221) have reported that a 48-h increase in plasma FFA by means of a lipid infusion in healthy subjects in significantly reduced proliferator activated receptor-y cofactor-1 (PGC-1) mRNA, along with messenger ribonucleic acids (mRNAs) for a number of nuclear encoded mitochondrial genes. Moreover, using microarray analysis, lipid infusion caused a significant overexpression of extracellular matrix genes and connective tissue growth factor. Quantitative reverse transcription PCR showed that the mRNA protein expression of collagens and multiple extracellular matrix genes were also elevated after lipid infusion, in striking similarity to what has been observed in insulin-resistant subjects with a fatty liver in nonalcoholic steaothepatitis (as discussed below in the liver section of this chapter) (222, 223), linking functional and structural abnormalities in different tissues by FFA oversupply. On the contrary, if plasma FFA levels are reduced by acipimox, an...

Adipose Tissue Insulin Resistance and Lipotoxicity

Liver and muscle insulin resistance are both central to the pathogenesis of T2DM. Hepatic insulin resistance per se may drive a chronic increase in insulin secretion aimed at refraining excessive rates of hepatic glucose production and prevent subsequent hyperglycemia. Hepatic insulin resistance is frequently associated with a fatty liver, diminished insulin clearance, and perpheral hyperinsulinemia. In such a scenario, hepatic insulin resistance could cause contribute to muscle insulin resistance as mild chronic hyperinsulinemia per se (i.e., an approximately two- to threefold increase in plasma insulin concentration above normal, as seen in insulin-resistant states such as obesity or T2DM) may cause peripheral (muscle) insulin resistance just after 72 h in otherwise insulin-sensitive individuals (149). Steatosis and hepatic insulin resistance are also characterized by an excessive secretion of proinflam-matory cytokines transforming growth factor-P (TGF-P), TNF-a, hsCRP, etc. that...

What Strategy to Use to Prevent TDM in Subjects Genetically Predisposed to TDM Lifestyle Intervention Pharmacological

415), muscle (127), and vascular bed (341, 342) - and ameliorate the release of inflammatory adipok-ines from macrophages and adipose tissue linked to insulin resistance (66, 126) and atherogenesis (416). In addition to the prevention of T2DM, early use of pioglitazone may reverse common metabolic complications of patients with IGT and T2DM, such as NAFLD (64) or PCOS (417), and reduce subclinical inflammation ,418) and atherosclerosis ,419). Pioglitazone has also been reported to reduce the risk of stroke and recurrent myocardial infarction in subjects with established CVD (420-423), although for unclear reasons rosiglitazone paradoxically increases myocardial infarction in patients with T2DM (424, 425) , Clinical trials with thiazolidinediones also suggest that they are the most promising of the currently available pharmacological agents for the prevention of T2DM (408-411).

Oral Medications for Type II Diabetes

Recently (December 1997) reports have come to light that Rezulin can cause liver damage in some people who take it. Because of this tendency to cause liver damage that can be fatal, the National Institutes have discontinued testing Rezulin in a large trial that was hoping to show that it could actually prevent diabetes (June, 1998).

Nonalcoholic Steatohepatosis

Non-alcoholic fatty liver disease, has recently become increasingly recognized and may progress to end-stage liver disease. It is histologically indistinguishable from the liver damage that is secondary to alcohol abuse, but occurs in people with no history of alcohol excess. Non-alcoholic fatty liver disease has a wide spectrum of liver damage ranging from simple steatosis to steatohepatitis, advanced fibrosis and cirrhosis. The combination of steatosis, infiltration by mononuclear or polymorphonuclear cells (or both), and hepatocyte ballooning and spotty necrosis is known as nonalcoholic steatohepatitis (NASH). Non-alcoholic fatty liver disease is the most common cause of abnormal liver blood results among adults in the USA. It is particularly common in those with combined diabetes and obesity in a group of severely obese patients with diabetes, 100 were found to have mild steatosis, 50 had NASH and 19 had cirrhosis. Insulin resistance seems to be the most reproducible causative...

Magnetic Resonance Imaging MRI and spectroscopy

Mri Spectroscopy Show Muscle

Figure 13.4 Assessment of Liver Fat Accumulation by CT A) CT scan of normal liver. The liver is denser (brighter) than the spleen B) CT scan of a fatty liver. The liver is less dense (darker) than the spleen. Reproduced with permission from Joy D et al. (2003) Eur J Gastroenterol Hepatol 15 (5), 539-543. Figure 13.4 Assessment of Liver Fat Accumulation by CT A) CT scan of normal liver. The liver is denser (brighter) than the spleen B) CT scan of a fatty liver. The liver is less dense (darker) than the spleen. Reproduced with permission from Joy D et al. (2003) Eur J Gastroenterol Hepatol 15 (5), 539-543.

Liver intrahepatic lipids

As in the skeletal muscle, the first studies were designed to find an association between hepatic fat content and features of insulin resistance in various populations. Increased hepatic fat content was found and associated with various measures of insulin resistance in T2DM (Figure 13.10) (Ryysy et al. 2000 Anderwald et al. 2002 Mayerson et al. 2002 Kelley et al. 2003 Krssak et al. 2004), in women with previous gestational diabetes (Seppala-Lindroos et al. 2002 Tiikkainen et al. 2002 Larson-Meyer et al. 2006a) as well as in insulin resistant lipodystrophic patients (Petersen et al. 2002 Sutinen et al. 2002). It was also linked with hepatic insulin resistance (Marchesini et al. 2001) and impaired whole-body reaction to oral glucose test challenge (Sargin et al. 2003) in non-alcoholic fatty liver disease.

Is NASH a Mitochondrial Disease

There is an increasing consensus that the inability of the mitochondria to adapt to insulin resistance and lipotoxicity play a key role in the development of fatty liver disease and NASH reviewed in-depth by (223, 320-322) . Adipose tissue insulin resistance, oversupply of FFA to the liver and the development of a state of local and systemic chronic inflammation are at center stage in the development of steatosis and liver damage in NAFLD. A key determinant for hepatic fat accumulation is the inability of the liver to adapt to the excessive FFA supply from dysfunctional, insulin-resistant adipose tissue. There may also be an altered composition of the fat that accumulates in fatty liver disease, with an increased content of TAG and DAG, and a shift toward a progressive increase in the TAG DAG ratio, as patients progress from simple NAFLD to NASH (323). Adipose stores account for about 60-70 of the FFA used for hepatic fat synthesis and for the secretion of VLDL in the setting of NAFLD...

Insulin Resistance Hyperinsulinemia and the IRS

Pathogenesis of the abnormalities and clinical syndromes that make up the IRS. To begin with, type 2 diabetes is the only clinical syndrome listed in Table 3 that is not associated with a significant degree of hyperinsulinemia. Obviously, in this instance, it is the failure of the pancreatic P-cell to adequately compensate for the insulin resistance that is responsible for the development of the clinical syndrome 16 . In the case of the other abnormalities and clinical syndromes listed in Tables 2 and 3, it is the relationship between insulin resistance, compensatory hyperinsulinemia, and the individual tissue response to the chronically elevated plasma insulin concentrations that is responsible for the observed pathophysiology. In this context, it is necessary to address the question of differential tissue insulin sensitivity, for if this phenomenon did not exist, there would be no IRS. For example, the ability of insulin to stimulate muscle glucose uptake and inhibit free fatty acid...

Pharmacological Interventions

In addition to their clinically useful metabolic benefits, TZD compounds are approved for treatment of type 2 diabetes, and have been shown to decrease hepatic steatosis in patients with nonalcoholic fatty liver disease 65 and result in pregnancy when given to women with PCOS 66 . In light of this appealing clinical profile, the possibility that these compounds might be particularly effective in reducing CVD, and preventing the development of type 2 diabetes in particularly susceptible individuals, that is, insulin resistant, but without known disease. At the present time there are no data indicating that the development of CVD can be decreased when a TZD compound is given to insulin-resistant, nondiabetic individuals, with no evidence of CVD. On the other hand, there is information concerning the use of insulin sensitizers in delaying the progression to type 2 diabetes of individuals classified as having prediabetes.

The Metabolic Syndrome Diabetes and Steatosis and Incidence of Hepatocellular Carcinoma

It is likely that the association of HCC with obesity and diabetes represents the progression of underlying non-alcoholic fatty liver disease to cirrhosis. The mechanisms most likely involve replicative senescence of steatotic mature hepatocytes and compensatory hyperplasia of progenitor cells as a reaction to chronic injury due to ongoing non-alcoholic steatohepatitis 55 and inflammation 56 .

Ultrasonography US

Fat accumulation in the liver is assessed from the bright echo appearance and the loss of the typical liver structure in the image (Quinn & Gosink 1985). Qualitative staging was introduced by Saadeh et al. (2002), leaving fat amount assessment to pattern recognition by the operator rather than specific quantitative measurement. But clear diagnosis of fatty liver is hampered by the fact that fibrosis, often associated with fat accumulation, has a similar bright echo appearance (Needleman et al. 1986 Celle et al. 1988). Nevertheless, despite its

Natural History

The prognosis of patients with diabetes mellitus and concomitant NAFLD is not well defined. No population-based studies exist, however one study from a tertiary referral centre found cirrhosis developed in 25 of diabetics with NAFLD and liver related death occurred in 18 (41). Although there was no control group, it would be reasonable to predict that the incidence of cirrhosis and liver-related death among patients with diabetes but not NAFLD would be substantially lower. The natural history of patients diagnosed with NAFLD (with and without diabetes mellitus) is better characterized with these patients having an increased (1.3-fold) mortality rate compared to the general population (42), most likely due to complications of insulin resistance such as vascular disease and NAFLD cirrhosis (43). Liver disease among patients with NAFLD is characteristically slowly progressive with a 3.1 incidence of cirrhosis over 7.6 years (43). Over decades, this may be complicated by hepatocellular...


The histological changes of NAFLD are similar to that produced by alcohol (31). Thus the diagnosis of NAFLD cannot be made by histological means alone and requires the clinical exclusion of excessive alcohol intake. The histological hallmark of NAFLD is hepatocellular triglyceride accumulation, which is predominantly macrovescicular, although may be mixed with microvescicular fat, which implies defective mitochondrial FFA oxidation. Steatohepatitis requires the presence of lobular inflammation, which is usually a mixed mononuclear neutrophilic infiltrate and is frequently associated with hepatocyte ballooning and less commonly Mallory's hyaline (32). Hepatocellular ballooning, disarray and fibrosis are typically predominant in zone three of the hepatic lobule. Fibrosis is typically pericellular and perisinusoidal giving a chickenwire appearance. Eventually, fibrotic septae form between the hepatic vein and portal tract and nodules may form heralding the onset of cirrhosis....

Clinical Features

Patients with NAFLD are generally asymptomatic although may have abdominal discomfort and hepatomegaly. Clinical examination may reveal signs of portal hypertension such as splenomegaly or ascites if cirrhosis is present. Children may have acanthosis nigricans reflecting underlying insulin resistance. Liver enzymes may be normal in up to 78 of patients including those with cirrhosis, and thus are insensitive for both the detection of NAFLD and the exclusion of advanced liver disease (3). When present, liver enzyme elevations are generally modest and restricted to alanine aminotransaminase (ALT) and aspartate aminotransaminase (AST). Elevations of ALT and AST greater than five times the upper limit of normal are uncommon and should prompt investigation for an alternative cause. A ratio of AST ALT > 1 may signify advanced fibrosis (36). Iron studies are also frequently elevated with elevated ferritin observed in 20 to 50 of patients and raised transferrin saturation in 5 to 10 of...


High dose, although there have been two cases of kidney problems and one case of liver damage reported. A longer-duration study with a larger number of subjects is needed to find out if chromium supplements are beneficial for people with diabetes. An important question is whether the supplement adds much for patients who already may be on several drugs for their diabetes.

Weight Loss

It has been clear for more than 30 years that overweight obese individuals are more likely to be insulin-resistant hyperinsulinemic, and that weight loss in these individuals will improve insulin sensitivity, associated with lower plasma insulin concentrations and an improved lipoprotein phenotype 39 . It is now well-recognized that a variety of metabolic abnormalities improve when overweight obese individuals lose weight, and that this intervention can lead to substantial clinical benefit. For example, it has been shown that weight loss leads to clinical improvement in patients with essential hypertension 40 , PCOS 41 , and nonalcoholic fatty liver disease 42 . Of greater relevance to this book is the finding that weight loss, in association


An enormous amount of new information relevant to the role of insulin resistance in human disease had appeared since the introduction of the concept of Syndrome X, and the abnormalities related to insulin resistance have broadened considerably. At the same time, it has become clear that the adverse clinical outcomes associated with insulin resistance extend far beyond type 2 diabetes and CVD. For example, in addition to type 2 diabetes and CVD, insulin-resistant individuals are at increased risk to develop essential hypertension, PCOS, nonalcoholic fatty liver disease, congestive heart failure,

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