Now I’m going to go through two of the signs of a fatty liver first and then I want to explain something before I get to the third one.

Symptoms Of Fatty liver

But the first symptom or sign of a fatty liver is there are no symptoms. There are no signs, You have virtually no indication that you have a fatty liver. That’s the first one which is kind of like not really a symptom but it’s something you should know so many people have a fatty liver in fact 30 percent of all overweight children have a fatty liver. 

And 40% of the entire population have a fatty liver and the great majority of them don’t have a clue because there are no symptoms.

The second most common symptom or sign that You have a fatty liver is that your midsection is protruding. So if you look down right now at your abdomen does it stick out? yes, you could have a fatty liver. 

This next part is very very interesting so if you’ve checked out just check back in right now and really hear what I’m going to say because the good news is the liver is the only organ that you have and can get 100 percent repair and regeneration. 

I’m going to explain next so normally, you have a fat cell over a period of time.

If you eat too Much or the wrong Foods it starts to expand right. It gets to a point where there’s a limitation of expansion: your fat cells do not have an unlimited capacity to expand at some point they hit their limit. What happens next is the fat cell becomes dysfunctional in other words it starts to lose blood supply and starts to become inflamed. 

You start developing fibrosis and scar tissue around the fat cells and they can no longer take in fat. 

Where does that fat go?

If you maintain your lifestyle the way it’s going well it goes outside the fat cell. It starts to get stored outside the fat cell that’s called ectopic fat, in the muscles not in blood cells just around the pancreatic cells and the pancreas around the heart cells around your kidneys.

And there is a huge area that your body can dump this fat in around the organs in your abdominal cavity. You can hold Four to six liters of this ectopic fat very easily in your abdomen. But that’s only the start because that abdomen can start to expand outward more and more and more to the point where you can hold more of this ectopic fat.

Insulin Resistance

Now the majority of fat in someone’s liver is this type of fat; it’s ectopic. It’s not even in the fat cell this type of fat is not a good healthy fat. This type of fat creates insulin resistance.

This is new information. I talked about the liver being ectopic fat but I didn’t tell you where the source of that ectopic fat is really coming from in the liver.

There’s three sources: just under 60 is 59 % of the fat in your liver actually originates from fat outside your liver. It is from fat in Other parts of your body that end up in the liver sixty percent. How can that happen well like I said before this fat becomes damaged you can no longer hold fat so you start getting a breakdown of that fat.

And it starts to Leach out through into the bloodstream and it ends up in the liver. So a lot of the fat that you have in your liver comes from other places in your body. That is 26 percent of the fat in the liver actually comes from your liver making its own fat from glucose and so there’s a process called gluconeogenesis.

 Gluconeogenesis

That is the production of new sugar. It says nothing to do with eating sugar, it just has to do with your liver making sugar from non-carbohydrate sources.

Now insulin is supposed to inhibit or stop that process from happening normally in students like okay liver you can’t make any more fat but because of all this dysfunctional fat and the insulin resistance now you have a deficiency of insulin in the cells. That’s causing this uncontrolled gluconeogenesis in the liver so your liver is just making tons and tons of sugar and this happens in diabetes pre-diabetes and insulin resistance.

You will see that diabetics will wake up in the morning with the dawn phenomenon where all of a sudden they have high sugar . But sometimes if they are on the ketogenic diet they’re not eating any sugar where that Sugar comes from. It’s coming from the liver making all this sugar.

Because of all this dysfunctional fat and the insulin resistance there’s an insufficient amount of insulin there to suppress this process from happening. But of course in the blood you have this massive amount of insulin but in cells you have a deficiency of insulin. So we have this severe imbalance.

The third source of actual fat comes from dietary fat but that’s because you’re also consuming sugar at the same time. When you consume a diet that’s very high in fructose or glucose or refined carbohydrates that turn into glucose. You’re going to create a situation where the fat cells get overwhelmed and they get to a point where they can’t take in any more fat.

It is going to spill off Into around the organs in your liver and your abdominal cavity. You are going to develop insulin resistance but if you check your blood sugar it’ll be normal for a while.

Because everything is compensating but if you check the insulin it’d be screaming high but doctors don’t check the insulin. But if you check the blood sugars it’ll be normal for a while for about 10 to 15 years.

Then Little cells of the pancreas are just exhausted now they can’t make enough insulin and now we get a much lowered amount of insulin there’s nothing to buffer. These blood sugars so now the blood sugar starts going higher and higher and higher. You have what’s called diabetes. And they always say a fatty liver is associated with diabetes and metabolic syndrome and high blood pressure.

But I think now you can really see the source and what’s Really cause and what’s the effect of this right we have the diet that this too damn high in carbs. That is actually creating this insulin resistance and it’s damaging the fat cell and so self-defeating. 

Circle and cycle and one thing worsens another and the whole thing gets out of control. But at the very heart of this problem is the person’s consuming too many carbohydrates.

How do we know that is the source of Gluconeogenesis.

Well it is very simple, If you get someone on a low carb diet what’s going to happen is you start correcting all of this. You start getting rid of the fat off the liver very quickly within two weeks. 

You can drop 50 percent of that fat off the liver if you do the ketogenic diet and intermittent fasting. So dropping the carbs is going to be very very very important. Now remember the liver is the only cell that can completely 100% Regenerate. It takes a beating and it can rejuvenate. But there is a point of limitation if you have too much scar tissue in there then there’s going to be a limitation of how much you can get back.

But realizing that we have dietary sugar that’s creating a lot of problems but we also have dysfunctional fat cells throughout your body that’s creating fat in the liver. And we’re also having a liver that’s dysfunctional and it’s making all This extra sugar because there’s no insulin to suppress it. 

But in your blood you got tons of insulin. All of that can be corrected if you start to cut down the carbs now. You should also know that the third symptom or sign that you have a fatty liver is insulin resistance. There’s quite a few additional things to know that you have insulin resistance but the real big one is you cannot go for a long period of time without needing food. If you can go a long period of time very easily without food then chances are your insulin resistance is much less of a problem.

Longer Fasting Period

And you will see as you start to lower your carbs and you start to fast it becomes easier and easier and easier. That is one of the best indications that you are correcting insulin resistance. So one way to know if you still have insulin resistance is if you can fast for a long period of time but also if you can wake Up in the morning without having high blood glucose alright so cravings can’t go very long without needing food.

Frequent urination

I already mentioned that frequent urination at night is okay if you have to get up at night . Chances are you have insulin resistance and if you fix insulin resistance you can fix this. Frequent urination problems and feeling tired after lunch is a common symptom. Once you fix this your energy will Improve after lunch and throughout the day and you’ll have less brain fog vision problems.

Insulin resistance

Another indication that you have insulin resistance. You may think you’re just getting old and you need glasses but chances are it could be just your blood sugar situation.

So the three simple things that you need to do is get on the healthy version of the ketogenic diet with intermittent fasting. That is the most important thing number two: start exercising regularly. Consistent exercise will improve insulin resistance very potently

The third thing is to start consuming apple cider vinegar like one to two tablespoons of apple cider vinegar in your water. A few times a day apple cider vinegar could do a lot for your digestion but it can very potently improve your blood sugars.

 Now that you know this interesting association between liver fat and insulin resistance.

Fatty liver with focal fatty sparing

Fatty liver with focal fatty sparing refers to a condition where there is an accumulation of fat in the liver’s cells, but certain areas remain unaffected, showing no fat deposits. This is usually noticed on imaging studies like ultrasound or CT scans. Fatty liver can be caused by several factors, including alcohol consumption, obesity, and metabolic syndrome. Treatment usually involves lifestyle changes, such as weight loss, a healthy diet, and increased physical activity.

Case Study on Fatty liver with focal fatty sparing

Source

This is a case report about a 37-year-old male with a history of alcohol abuse and hepatitis B virus infection. Routine blood examination showed an elevation of triglyceride, and tumor markers were unremarkable. The patient was diagnosed with hepatic focal fatty sparing but was initially misdiagnosed with hepatocellular carcinoma (HCC) due to the enhancement mode of the mass in contrast-enhanced ultrasound (CEUS). The report emphasizes the need for more attention to atypical enhancement presence of hepatic focal fatty sparing in imaging examinations that may lead to misdiagnosis. The patient underwent liver resection, and after 39 months, there was no manifestation of liver tumor.