Is it hard to lose weight with a fatty liver
Read more if you have fatty liver and cannot lose weight.
People with fatty liver have difficulty losing weight.
Are you familiar with the symptoms of people with fatty liver?
Do you know what side effects a fatty liver can have if you have a fatty liver?
If you want to know more about the above questions, read on.
Excessive accumulation of fat in the liver can have serious consequences for the body's health. You will read more about fatty liver in the following.
Introduction
Fatty liver is a term that refers to the accumulation of excess fat in the liver tissue. It is a natural and physiological process for some fat to accumulate and form in the liver, but when the term fatty liver is used, it means excessive accumulation. There is fat in the liver tissue that can endanger the health of the affected person.
The liver plays a very important role in our health and life. Many functions of the body, including refining and processing what we eat, as well as filtering the blood of many toxins, are the responsibility of the liver, and only a healthy liver can perform these tasks.
Modernization of the country, Urban Lifestyle and technology-dependent lifestyle has increased the rate of obesity and its problems for people. Fatty liver disease affects 25% of the world's population, in which obesity is common.
What is meant by fatty liver?
Fatty liver occurs when your body is unable to metabolize its own fats. Excess fats that cannot be metabolized are stored in the liver parenchymal cells, leading to fatty liver. Fatty liver is perfectly visible on ultrasound.
It is divided into several degrees in terms of the degree of liver involvement and the amount of fat accumulation in the liver cells.
How many degrees is a fatty liver divided into?
What are the signs and symptoms of fatty liver?
There are many people in the community who have fatty liver in the early stages. These cases often make up most of the cases. People in the early stages of fatty liver may have no clinical symptoms.
As the disorder progresses, it will certainly cause a person to experience a number of clinical manifestations.
The liver becomes larger than normal and it is even possible to touch the large liver in the upper right part of the abdomen through examination.
In addition, an enlarged liver can exert pressure effects and have manifestations due to these pressure effects.
The point is that when fat accumulates in the liver cells, it causes allergies in the immune system. The immune system begins a special process that eventually causes inflammation of the liver cells and widespread inflammation in the liver. As this inflammatory process begins and progresses it may have the following symptoms:
- The person suffers from loss of appetite.
- The person suffers from unexplained weight loss.
- The person has general fatigue.
- The person has dizziness.
- The person is physically tired and experiences abdominal pain.
As the disorder progresses, the liver, with its pervasive inflammation due to fat accumulation, gradually loses its normal function in the liver cells and the person progresses to cirrhosis and liver failure and experiences the following signs and symptoms:
- The liver produces many of the body's coagulation factors, which puts you at high risk for internal bleeding.
- A person experiences an enlarged abdomen due to an enlarged liver.
- Jaundice of the skin and sclera is experienced
- In liver failure, urine is dark and stools are white and gypsum-colored.
- Because many proteins that are responsible for immunity are made in the liver, a person with liver failure not only develops coagulation disorders but also has an immunodeficiency and his immunity is weakened.
Causes of fatty liver
Doctors specifically divide fatty liver into two categories.
Fatty liver unrelated to alcohol consumption and alcoholic fatty liver.
Most cases of fatty liver in Western countries are related to alcohol consumption.
Among the causes of non-alcoholic fatty liver, the following can be mentioned:
- Weight gain and obesity
- Genetic
- diabetes
- genetic predisposition
- Physical mobility
- diets that are in Low carbohydrates
- Blood lipid imbalance
- Sudden weight loss and some medications, such as hormone therapy
Risk factors for fatty liver
Fatty liver is associated with the accumulation of fat in the liver cells, which is followed by widespread inflammation, and obese people are more at risk.
Another risk factor is type 2 diabetes
Insulin resistance in type 2 diabetes is an increased risk of fatty liver. Type 2 diabetes is one of the most common causes of fatty liver disease, Because fat accumulation in the liver is associated with insulin resistance.
The next risk factor is pregnancy.
And people with certain congenital metabolic disorders.
There are several types of fatty liver:
A) Non-alcoholic fatty liver:
In these patients, fat is broken down by the hard liver. Fat accumulates in the fatty liver. The formation of this type of fatty liver has nothing to do with alcohol consumption.
Alcoholic fatty liver is the first stage of alcohol-induced liver disorders.
When a person drinks too much alcohol, his liver is damaged and he is no longer able to separate and analyze fat. If he stops drinking alcohol for six weeks or more, his condition will improve significantly.
B) Pregnancy fatty liver
Women with this disorder usually have the following symptoms in the last three months of pregnancy:
Jaundice of the skin and sclera of the eyes, Decreased appetite, Headache, Pain in the upper and right abdomen and fatigue.
Interestingly, the symptoms of gestational fatty liver improve a few weeks after delivery, leaving no side effects.
How is fatty liver diagnosed?
Learn more about the diagnosis of fatty liver in the following:
The first step is to obtain an accurate history of the patient. The second step is to have a physical examination of the inflammation of the liver through a physical examination of the abdomen and enlargement of the liver.
In some cases, the person may not notice an enlarged liver.
At the stage of taking the history, the symptoms should be asked along with the medical history, the history of traumas and the history of family diseases.
blood test:
Blood tests will check the level of liver enzymes. The level of liver enzymes in the presence of fatty liver has increased and changed with certain proportions.
But we must say that this is not the only definitive diagnosis.
Paraclinical radiology procedures, The use of ultrasound, CT scans, and statistics can guide the physician to the presence of fatty liver.
Finally, biopsy of liver tissue is actually the most definitive method to determine the cause of the disease and determine the severity of the disease. The doctor enters the liver tissue with a special needle and removes a small piece of tissue. In this way, he understands the cause of liver-related symptoms as well as the extent of liver tissue involvement.
treatment
Fatty liver treatment has several steps, one of the first ways to treat fatty liver is lifestyle modification.
Lifestyle changes include eating a healthy, low-fat diet and eating fresh fruits and vegetables.
Losing weight and increasing physical activity at this stage is highly recommended.
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Taking medications:
When are medications prescribed?
It is very important that medication is prescribed by your doctor to balance blood fats and cholesterol and control your blood sugar. The sufferer should avoid taking any medication other than what the doctor has prescribed.
In addition, the patient should control blood triglyceride levels as much as possible (with medication or diet and exercise) And lose weight and minimize sugar intake.
With observing the above points in addition to seeing a doctor in time and following the treatment tips, in most cases, fatty liver is treated well and does not become a chronic disease. The liver alone is able to eliminate the early stages of these inflammations and disorders with lifestyle changes, provided that the person has managed, controlled and treated their underlying diseases such as diabetes, hyperlipidemia and obesity.
reasons
The following can be mentioned:
Obesity:
It also increases the risk of developing type 2 diabetes, and people with type 2 diabetes are more likely to develop fatty liver because insulin resistance causes excess fat to build up in the liver.
The second factor is hepatitis C disorder, which leads to inflammation of the liver, we have to say that hepatitis in general is histologically different from fatty liver.
Alcohol consumption causes fatty liver.
Long-term use of some medications, Improper diets, Malnutrition, Sudden weight loss, Type 2 diabetes and High blood cholesterol can be a major cause.
Statistically one of the most important and significant causes of fatty liver, is Alcohol consumption and then obesity, Obese people need to know the need to lose weight.
When the body mass index is balanced and less than twenty-five, The risk of developing fatty liver is reduced.
Of course, in non-alcoholic people, the risk is reduced.
Abdominal fat is associated with increased insulin resistance, and increased insulin resistance is associated with decreased ability of the source to metabolize and break down fat.
How is fatty liver graded?
the following grading is defined for Fatty liver, in order to have a single grading system around the world, so that it can be easily discussed about the treatment plan:
- Type one grade one
It is a simple type that does not impair liver function so much, but it definitely needs management.
- Grade two or type two
Moderate risk that must be treated.
- Grade three or type three
that is usually associated with clinical manifestations of fatty liver.
Is fatty liver for adults?
Fatty liver is the most common liver disease and disorder in children and 10% of children suffer from obesity.
22 to 53% of overweight children have fatty liver.
This disorder is very much associated with childhood obesity. This complication begins in children around the age of four, and as the child gets older, it is more likely to occur among adolescents.
Treatments
The patient and the physician must work together to establish a plan that is workable. Nutrition, diet, and exercise and increased mobility, as well as the use of appropriate medications to balance blood lipids and treat fatty liver by the physician, as well as blood sugar control is necessary.
Weight loss should be done in a healthy way. Meal should not be eliminated. Long-term starvation should not be done and following regular and healthy exercise along with proper diet can lead to sustainable weight loss.
Diet containing high-fat dairy products and Red meat is completely excluded from the diet. Sweets should be eliminated. Processed foods and processed grains are prohibited. Diet should be low in sugar and low in salt.
Prepare plenty of raw fruits and vegetables and include plenty of water in your diet.
Exercise reduces insulin resistance and the liver is able to break down fats.
- Problematic medications should be discontinued with a doctor's prescription.
There are drugs that have beneficial and aggravating effects on fatty liver conditions. These drugs must be discontinued and replaced with less dangerous drugs.
An important point to note here is that although lifestyle changes are necessary, many disorders associated with fatty liver, such as high blood sugar and high cholesterol, will not be possible to managed efficiently without pharmacological interventions.
Metformin for the treatment of type 2 diabetes and statins for the management and balance of high cholesterol, and if necessary, specialized drugs for obesity should be prescribed by a physician according to the individual's condition.
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How can fatty liver disease be prevented?
Choose a healthy lifestyle
Balanced diet
A diet rich in fiber and water.
And low in saturated fat.
Consider a standard, gradual, and scientific weight loss program if you are overweight.
Consumption of carbohydrates, sugar and fatty and fried foods should be minimized.
Stop Alcohol, be sure to include exercise such as hiking, swimming, and stretching exercises at least four days a week in your daily routine.
Weight loss in people with fatty liver
We have said that losing weight and losing belly fat is associated with a decrease in insulin resistance, so that at least the liver cells can overcome the inflammation and break down the fat, thus improving the fatty liver, but the point is that people with fatty liver can’t lose weight well sometimes. It is in these cases that, if your doctor deems it appropriate, he / she will use weight loss drugs to facilitate your weight loss and reaching the right weight.
In high BMIs, bariatric surgeries may be needed to reduce stomach volume.
It should be emphasized that the arbitrary use of weight loss drugs in people with fatty liver, and other people is prohibited. These drugs can have very irreparable consequences if taken arbitrarily.
Concluding remarks
Fatty liver has become so prevalent in recent decades that with the mechanization of lives, reduced physical activity, and increased consumption of processed foods and fast foods, this prevalence has not been far-fetched.
Clinical symptoms are not seen except in cases of severe fatty liver. The disease has no symptoms in the early stages and adults and even children and adolescents get the disease. Treatment can be done mainly with proper weight and proper diet and balancing fat and blood sugar.