Little if any alcohol is used by these individuals

When alcohol is the cause agent of liver disease it is referred to as Alcohol-Induced Liver Disease

Fatty liver may be present  (Steatosis)

Inflammation is another type or concern – this can lead to fibrosis

Individuals can have no symptoms

Can lead to hepatic fibrosis, cirrhosis, and mortality

Causes can be:

   -  Obesity (40%)
   -  Diabetes Mellitus (20%)
   -  Hypertriglyceridema (20%)             (Elevated Lipid profile)
   -  Hypertension                                 (High Blood pressure)
   -  Poisons
   -  and others

Symptoms:

   -   Enlarged liver (75%)
   -   Fatigue
   -   Weakness
   -   Malaise
   -   Weight loss
   -   Loss of appetite
   -   Nausea
   -   Ascites
   -   Jaundice

Liver biopsy may be appropriate
Ultrasound and CT may be benefical

 Treatment:

   -   Weight loss
 
   -   Exercise

   -   Metformin in diabetic individuals

   -   Blood pressure mediations
 
   -   High Lipid medications

   -   Vitamin E

   -   Vitamin C

   -   Ursodiol (Actigall)  – may be helpful