Fatty liver is now commonly described as metabolic dysfunction-associated steatotic liver disease. Many people discover it incidentally during a health check, blood test or ultrasound and have no pain or obvious discomfort. Having no symptoms does not guarantee the absence of liver inflammation or scarring, and one normal liver-function test cannot rule out all risk.
Assessment may include alcohol intake, weight and waist size, glucose, lipids, blood pressure, liver tests and, when appropriate, evaluation for fibrosis. A healthier dietary pattern, regular activity, gradual loss of excess weight and good management of diabetes, hypertension and cholesterol are central. “Detox” teas, extreme fasting and unverified liver supplements may cause harm instead.
TCM may provide supportive care for appetite, bloating, fatigue, sleep and general wellbeing, but it does not replace metabolic risk management or fibrosis assessment. Jaundice, rapidly increasing abdominal swelling, vomiting blood, black stools, confusion or persistent right-upper-abdominal pain requires prompt medical attention.
Follow-up should assess more than weight, including liver enzymes, glucose, lipids and fibrosis risk where appropriate. Goals differ between individuals, especially in older people or those taking several medicines. Sustainable changes are generally safer and more useful than short, extreme diets.
