～What are the measures that can be taken now and the specialized treatment provided by the Ikejiri-Ohashi Sera Clinic?
The results of the medical checkups from the company and the local government are returned,
More and more people are concerned about being diagnosed with "fatty liver," "high ALT level," or "abnormal liver function."
What should I do?" What happens if I don't do anything? Can it get better right away?"
In this article, based on the latest knowledge, we will tell you what fatty liver = MASLD disease is, what measures you can start immediately, and our treatment plan.
Fatty liver is a disease called MASLD.
Traditionally referred to as "NAFLD (non-alcoholic fatty liver)," it is nowMASLD (Metabolic Abnormalities Related Fatty Liver Disease)The new name is being standardized as
MASLD is a fatty liver associated with lifestyle-related diseases (metabolic abnormalities) such as
- Obesity (increased BMI and abdominal girth)
- diabetes mellitusor borderline dysglycemia
- high blood pressure
- Abnormal triglycerides and LDL (dyslipidemia (dyslipidemia, dyslipidemia)）
When a patient has one of these metabolic abnormalities and fat accumulation in the liver, the diagnosis of "MASLD" is made.
And,Heavy alcohol drinkers (more than 210 g/week for men and more than 140 g/week for women)And the fatty liver, which is also complicated by metabolic abnormalities,MetALDIt is called
In other words, fatty liver is a "lifestyle disease" that can occur in anyone, even if they do not drink alcohol.
[The terms are as follows.
Metabolic dysfunction associated steatotic liver disease (MASLD)
MASH (metabolic dysfunction associated steatohepatitis)
Metabolic dysfunction-associated alcohol-related liver disease (MetALD)
ALD (alcohol associated (related) liver disease)
Alcoholic hepatitis (ASH: alcoholic steatohepatitis)
Why not leave it alone?
Because fatty liver (MASLD) has no symptoms in the early stages, many people leave it untreated.
However, early action is critical for the following reasons
- 20-30% of people progress to MASH = advanced fatty liver with hepatitis and fibrosis
- About 20% of MASH will progress to cirrhosis and hepatocarcinoma in the future
- Fatty liver also increases the risk of diabetes, myocardial infarction, and stroke
In particular, those who have elevated ALT, increased triglycerides, and increased abdominal circumference on physical examination may already be at increased risk.
Three measures to prevent fatty liver that you can take right now
For those who searched for "fatty liver improvement" after their checkup, here are some things you can put into practice right now.
1] Moderate staple foods (rice, bread, noodles)
- Cut white rice in half and consciously increase vegetables and protein (meat, fish, beans)
- Avoid juice, sweets, and snacks
- Based on "locavore" (moderate carbohydrate restriction)
2] Walking for 20-30 minutes at least 3 days a week
- Aerobic exercise directly reduces fat in the liver.
- Use light muscle training (squats, push-ups) if possible.
3] Aim for a 3-5% reduction in body weight.
- Liver fat improves with 2-3 kg weight loss for a 60 kg person.
- Not forced fasting or self-imposed dieting,Sustainable "habit review"を
About our fatty liver (MASLD) treatment
The clinic offers comprehensive treatment for MASLD with expertise in sports medicine and preventive medicine.
Detailed inspection system
- Abdominal echocardiography to evaluate liver fat and fibrosis
- Blood tests covering liver function, lipids, glucose metabolism, inflammation, etc.
- Assess Fib-4 index and other non-invasive fibrosis markers as needed
Specialist Exercise Therapy
- Physical therapists provide individualized evaluation, exercise planning, and practical guidance
- Propose realistic exercise menus that can be continued at home
- Safe even for those who are not good at sports and the elderly
Medical Diet Program
- Utilize GLP-1 receptor agonists (e.g., Liberus®, Ozempic®, Manjaro®)
- Offers a safe and highly effective program, although it is at your own expense
- Efficiently improves liver fat and metabolic abnormalities when used in combination with diet and exercise
We will work with you to find a treatment that is right for you.
Fatty liver (MASLD) is a disease that can be adequately corrected with the right knowledge and medical support.
If left untreated, it can progress to serious liver disease, but conversely, it is a disease that "can be prevented if we act now.
- I was told I have a fatty liver during my checkup, what do I do?"
- 'I can't lose weight right away, but I want to prevent progression.'
- It's hard to go on alone..."
For such people, our clinic will provide full support through the three pillars of exercise, diet, and medical care.
■ Please feel free to contact us for reservations and consultation.
Fatty liver is a disease that can be fatal if left untreated, but it can be corrected if detected early.
There is no need to rush. But please don't leave it unattended and take a step forward.
We can provide specialized treatment combining abdominal echocardiography + blood draw evaluation with exercise and drug therapy.
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