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Gastro Health & Nutrition
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NASH Treatment

Non-Alcoholic SteatoHepatitis, or NASH, is the most severe form of Non-Alcoholic Fatty Liver Disease (NAFLD). This condition involves excess fat being stored in liver cells, which hinders liver function. The buildup of fatty cells in this case is not related to alcohol consumption.
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NASH Symptoms?

Often referred to as the silent liver disease, early stages of NASH may produce no symptoms, and many people don’t realize they have it. Additionally, indicators are nonspecific, making diagnosis difficult. As the condition progresses and cirrhosis develops, symptoms may include:

  • Intense Itching

  • Fatigue

  • Jaundice

  • A swollen belly

Causes and Risk Factors

The exact cause of NAFLD or NASH is unknown, but it is most common in people who are obese or have diabetes or pre-diabetes.
The woman in the office is clutching her stomach painfully.
Doctor performing liver ultrasound exam

Diagnosis of NASH

Non-Alcoholic SteatoHepatitis is typically discovered during a routine blood test or screening for a different medical condition. At this point, your doctor may notice high levels of liver enzymes or an enlarged abdomen during an ultrasound, indicating potential fatty liver disease. Your doctor will then conduct a series of tests, including a physical to determine your BMI, blood tests, liver biopsy, and/or imaging tests. These tests will confirm whether you have fatty liver disease and allow your doctor to develop appropriate treatments.
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Treatment Options

The first recommendation your doctor is likely to make is to lose weight. Since being overweight is one of the main indicators of NASH, weight loss can help combat the condition and reduce fat in your liver. If diabetes is believed to be a direct cause, your doctor will have you start monitoring your blood sugar and taking the appropriate medications. Additionally, your doctor will likely advise you to stop drinking alcohol, be cautious with dietary supplements, and consult your provider before taking any supplements. This will help protect your liver and prevent any additional damage. Without proper and timely treatment, NASH can progress quickly and become life-threatening. Increased awareness and education about Non-Alcoholic SteatoHepatitis can lead to earlier diagnoses and more precise treatments.

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Frequently Asked Questions

What is NASH?
NASH (Non-Alcoholic SteatoHepatitis) is the most severe form of Non-Alcoholic Fatty Liver Disease (NAFLD). It involves excess fat being stored in liver cells and causing inflammation (hepatitis) that is completely unrelated to alcohol consumption. If left untreated, it can lead to irreversible liver damage, such as fibrosis or cirrhosis.  
NASH is often referred to as a “silent liver disease” because the early stages typically produce no symptoms at all. As the condition progresses and liver scarring develops, symptoms may include intense itching, severe fatigue, jaundice (yellowing of the skin or eyes), and a swollen belly.
While the exact cause is unknown, NASH is most commonly found in people who have obesity, Type 2 diabetes, pre-diabetes, insulin resistance, or high cholesterol.
NASH is usually discovered incidentally during routine blood panels that show elevated liver enzymes, or through an ultrasound for an unrelated issue that reveals an enlarged liver. To confirm the diagnosis and check for scarring, doctors use a combination of BMI assessments, comprehensive blood tests, advanced imaging studies, and sometimes a liver biopsy.
Because NASH is closely tied to metabolic health, the first line of treatment is typically lifestyle modification. This includes supervised weight loss, better blood sugar control, eating a healthy diet, and avoiding alcohol and unapproved supplements. When identified early and paired with the right interventions, the progression of NASH can be successfully slowed or reversed.