Fatty liver disease is not the actual disease

The treatment for fatty liver disease depends on the cause—alcohol-associated or non-alcohol-associated—and several other factors also play a role.

When I first met Varun six years ago, it was regarding a baffling health concern. He had been 23 at the time, thin and underweight. A few weeks before, he had left nauseous and unwell, and had lost interest in food. In a routine clinical investigation, his liver tests were grossly abnormal. The liver enzymes alanine transaminase and aspartate transaminase were 514 and 338 IU/litre—much higher than a normal count of below 40.

Varun had hepatitis—inflammation of the liver—but we ruled out all the common causes. He was a teetotaller. He had not consumed prescription medicines in the short or …


Cyriac Abby Philips

Cyriac Abby Philips is a highly cited, acclaimed and award-winning liver disease specialist and clinician-scientist based at The Liver Institute, Rajagiri Hospital, Kochi. His seminal research includes the introduction of healthy donor stool transplant for patients battling severe alcohol-related liver disease. He has also authored disruptive peer-reviewed publications on Ayush-related liver injury and herbal and dietary supplements.