The core of the problem: an overloaded metabolism
Most people who develop fatty liver share the same silent triad:
1. Insulin resistance
2. Visceral Fat
It doesn’t matter if a person is thin or robust: the fat surrounding the organs is the most dangerous. There’s even a term, “metabolically obese thin”: little fat on the outside, a lot of fat on the inside.
3. Chronic Low-Grade Inflammation
It doesn’t hurt, you can’t feel it, but it’s there. And it sustains the entire metabolic cycle that slowly damages the liver.
When this combination occurs, the liver begins to store excess energy. First, it stores glucose, then fat. When it can’t store any more, it sends it to other parts of the body. Over time, it all becomes a vicious cycle: more insulin → more fat → more inflammation → more liver damage.
Signs That Could Be Warning You Without You Noticing

These signs don’t always seem important… until you connect the dots:
Fatigue after eating.
Waist circumference greater than 90 cm (in men it can be higher).
Triglycerides above 100 mg/dL.
Low HDL cholesterol.
Spots on the neck or skin folds.
Frequent snoring.
Elevated uric acid.
Constant hunger or sweet cravings.
If you have three or more of these signs, it’s very likely that insulin resistance is the underlying issue… and your liver is showing it.
Essential Tests You Can Request from Your Doctor
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