Learn About MASLD/NAFLD and MASH/NASH

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the leading cause for liver disease in the USA and globally. Metabolic dysfunction-associated steatohepatitis (MASH) is a form of MASLD that can lead to inflammation and progressive scarring of the liver, in some cases leading to liver failure and liver cancer.

Learn about MASLD and what you can do to manage your liver's health.

What is MASLD?

MASLD stands for

Metablic-Dysfunction
Associated
Steatotic
Liver
Disease

Humans cannot stay alive without a working liver. A healthy liver is essential for well-being. Some fat in the liver is normal, but the amount should be less than 5% of the liver's overall weight. When the level of fat in the liver is over 5%, it is called a fatty liver (hepatic steatosis). Unbalanced diets and sedentary lifestyles are important contributors to fatty liver. There can be other causes for a fatty liver, such as alcohol. However, most fatty livers are created by diet, lifestyle, and genetic factors. When the main cause for a fatty liver is diet and lifestyle, the condition is called MASLD (formerly known as NAFLD).

Healthy Liver

MASLD/NAFLD Liver

MASLD/NAFLD often does not have symptoms and can easily go unnoticed. However, if the level of fat in the liver remains high, MASLD/NAFLD can develop into more serious conditions.
The fat stored in the liver can cause inflammation that leads to scarring called fibrosis. When fat causes inflammation of the liver, the condition is called non-alcoholic steatohepatitis (MASH/NASH). This scarring hurts the liver's function. When the scarring develops enough to cause severe problems, this is called cirrhosis. Unfortunately, the great majority of people with MASLD/NAFLD and even MASH/NASH have no symptoms of their liver disease. Some people can develop abdominal pain. Many people with MASLD/NAFLD and MASH/NASH experience excessive fatigue.

MASLD

MASLD

CAN BECOME

CAN BECOME

Fibrosis

Fibrosis

CAN BECOME

CAN BECOME

Cirrhosis

Cirrhosis

Once MASLD/NAFLD has progressed to cirrhosis, the scarring can be permanent. When diagnosed early, the inflammation and even the scarring may be slowed or reversed. Cirrhosis can develop into liver failure, and/or liver cancer. MASH/NASH is the most common reason for women to ned a liver transplant in the United States and is the second most common reason for men to need a liver transplant. MASH/NASH is also the most common reason to develop liver cancer in the United States.

Reducing and Reversing MASLD/NAFLD Risks

MASLD/NAFLD can be prevented through a healthy diet and regular exercise. People who have MASLD/NAFLD (or more serious developments like fibrosis and cirrhosis) can also improve their health and potentially reverse damage through a healthy diet and exercise.

Eating healthy is not easy, and neither is working out. HepVita provides information on liver-healthy diets and lifestyle changes that are known to benefit liver health.

For some people medications can help to slow or reverse the casues of MASLD/NAFLD and also the liver inflammation and scarring.

Learn About NutritionAssess Your Risk For MASLD/NAFLD and MASH/NASH

Take a deeper dive into MASLD/NAFLD and MASH/NASH from a patient perspective
MASLD/NAFLD and MASH/NASH Patient Guideline
Take a deeper dive into MASLD/NAFLD and MASH/NASH from a patient perspective

Link to American Association of the Study of Liver Diseases Guidance for the evaluation and management of MASLD/NAFLD and MASH/NASH Link to American Association of Clinical Endocrinology Clinical Practice Guideline for the diagnosis and management of MASLD/NAFLD and MASH/NASH

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