Fatty Liver Grade 1: Why It Happens Even If You Don't Drink

Fatty Liver Grade 1: Why It Happens Even If You Don't Drink
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Suresh has never touched alcohol. Not at his cousin's wedding, not at the office party, not once in 44 years. So when his company health package report says "Grade 1 fatty liver", he reads it twice. Then he calls the lab to ask if they mixed up the reports.

They had not.

If you are holding a report like this and thinking, but I don't even drink, you are in very large company. And there is good news hiding in that report.

Fatty liver without alcohol is more common than you think

Doctors now often call this metabolic fatty liver, or non alcoholic fatty liver disease. A review of Indian studies found it in nearly 4 in 10 adults. Most of them, like Suresh, have never been told alcohol was the problem, because it usually is not.

Picture your liver as the godown behind a busy kirana shop. Every day, sugar and extra calories arrive like sacks of rice. The liver uses what it needs and stores the rest. When deliveries keep beating what goes out, sacks start stacking in the corners. That stacked fat is what the ultrasound sees.

Sweet chai three times a day, large heaps of white rice, biscuits with every meeting, fried snacks at 5 pm and long hours in a chair: each one is another delivery truck. Alcohol is only one of the trucks.

Fatty liver symptoms: the quiet problem

Most people with grade 1 fatty liver feel nothing at all. A few notice tiredness or a dull heaviness on the right side, under the ribs. That silence is why it is usually found by accident, the way Suresh found his.

Grade 1 is the mildest stage. It is the early one, the one that listens best when you change the deliveries.

How to reverse fatty liver, one sack at a time

The godown can be cleared. It just needs fewer deliveries.

In a year-long study of people with fatty liver who changed their diet and activity, those who lost at least 7% of their body weight saw the biggest improvements in their liver. A simple Indian fatty liver diet starts at your own plate:

  • Sweet chai: halve the sugar this week, then halve it again next week.
  • Rice and roti: fill half your plate with sabzi, dal or salad first.
  • Sweets and namkeen: keep them for weekends, not for every evening.
  • Movement: walk briskly for 30 minutes on most days.

Turmeric for fatty liver and glutathione benefits

Haldi has been in your dal since childhood. Curcumin, its active part, has been studied in people with fatty liver: a review of 16 trials found curcumin supplements supported better liver enzyme levels and less liver fat on ultrasound.

Glutathione is the antioxidant your own liver makes. Think of it as the shop's own cleaning staff. In a small pilot study, people with fatty liver who took oral glutathione for four months showed better liver enzyme levels.

A fair word of caution: turmeric supplements have, rarely, been linked to liver injury in sensitive people. If you already have a liver condition or take medicines for it, ask your doctor first. If you ever notice yellow eyes or dark urine, stop any supplement and see a doctor.

A small partner for a big clean-up

Young in you combines Maxicuma, a patented water-dispersible turmeric extract, with 150 mg of glutathione, collagen and everyday vitamins in one orange-flavoured daily drink. Its ingredients have been studied for the same clean-up your liver is doing. It supports the work. It never replaces fewer deliveries.

Back to Suresh

Six months later: same lab, same cold ultrasound gel. This time the report reads, "Liver normal in size and echotexture."

Suresh does not call the lab. He forwards the report to his wife with one line: "No mix-up this time." She sends back a photo of his half-sugar chai.

Your one step today: put half the sugar in your next cup of chai, and book a liver function test so you know your starting numbers.

Young in you

Maxicuma turmeric extract, 150 mg of glutathione and collagen in one orange-flavoured daily drink, to sit beside your half-sugar chai.

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Written by: Dr. Indraneel
Disclaimer: This article is for general information only and is not a substitute for medical advice. Young in you is a nutraceutical supplement and is not intended to diagnose, treat, cure or prevent any disease. Speak to your doctor before starting any supplement, especially if you have a medical condition or take regular medication. Individual results may vary.
References
1. Shalimar, Elhence A, Bansal B, Gupta H, Anand A, Singh TP, et al. Prevalence of non-alcoholic fatty liver disease in India: a systematic review and meta-analysis. J Clin Exp Hepatol. 2022;12(3):818-29.
2. Vilar-Gomez E, Martinez-Perez Y, Calzadilla-Bertot L, Torres-Gonzalez A, Gra-Oramas B, Gonzalez-Fabian L, et al. Weight loss through lifestyle modification significantly reduces features of nonalcoholic steatohepatitis. Gastroenterology. 2015;149(2):367-78.
3. Ngu MH, Norhayati MN, Rosnani Z, Zulkifli MM. Curcumin as adjuvant treatment in patients with non-alcoholic fatty liver (NAFLD) disease: a systematic review and meta-analysis. Complement Ther Med. 2022;68:102843.
4. Honda Y, Kessoku T, Sumida Y, Kobayashi T, Kato T, Ogawa Y, et al. Efficacy of glutathione for the treatment of nonalcoholic fatty liver disease: an open-label, single-arm, multicenter, pilot study. BMC Gastroenterol. 2017;17(1):96.
5. Halegoua-DeMarzio D, Navarro V, Ahmad J, Avula B, Barnhart H, Barritt AS, et al. Liver injury associated with turmeric: a growing problem. Ten cases from the Drug-Induced Liver Injury Network [DILIN]. Am J Med. 2023;136(2):200-6.
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