More than once, I have been consulted by people with “fatty liver” on their medical reports, saying that they are not fat and they eat very green, so why would they have fatty liver? It is true that fatty liver is common in many people with obesity and metabolic problems, and it is also true that some of the fatty liver may be related to intake, but fatty liver is not entirely caused by obesity and diet. There are many misconceptions, today we will sort out combing. 1, fatty liver is not the same as eating too much fat think that “fatty liver is equal to excessive fat intake” is a common interpretation. In fact, the word “fatty liver” is used to describe the pathological state of liver tissue, the full name is “hepatocellular steatosis”, and the physical examination of ultrasound, CT, etc. see the “fatty liver The term “fatty liver” refers to the macroscopic manifestation of diffuse steatosis of the liver. Liver cells are the key site of fat metabolism, so problems in various aspects of fat metabolism in liver cells, such as impairment of fatty acid breakdown and transfer, excessive fat synthesis, poisoning of liver cells and malnutrition, can all result in fat accumulation in liver cells, not just from excessive fat intake. Therefore, simply eating light does not necessarily solve the problem of fatty liver. We need to realize that fatty liver is far more complicated than it sounds. 2, obesity + fatty liver, the problem may not be simple Obesity, especially the “belly” of people, if the fatty liver is detected, may not be as simple as eating light. Medical research in recent years that obesity, especially “abdominal obesity”, and a variety of systemic metabolic problems have a very large correlation, not just lifestyle problems. In the non-alcoholic population, more than 70% of people with fatty liver are also obese, 75% have type 2 diabetes, more than half have dyslipidemia, and many have insulin resistance. Obesity and metabolic diseases are likely to be a syndrome of mutual causation, and fatty liver, may be the result of abnormal fat metabolism among them. Therefore, fatty liver detected, should also pay long-term attention to their blood sugar, blood lipids and blood pressure. Of course, whether it is that serious or not, weight loss is very important, just pay attention to weight changes, but also pay attention to the abdominal circumference – abdominal circumference is very large people, may be a lot of visceral fat accumulation, and the latter is closely related to a variety of metabolic diseases, cardiovascular disease. 3, fatty liver may also be the result of “alcohol injury to the liver” Some people who often socialize, physical examination found fatty liver, the first reaction is to pat his stomach and say: “It seems that in the future to eat lighter!” In fact, his biggest problem does not necessarily lie in eating, but in drinking. After people drink alcohol, alcohol has to enter the liver for degradation, and a large number of products of alcohol decomposition have obvious toxicity to liver cells. Early liver damage may be manifested as alcoholic fatty liver, commonly known as “alcoholic liver”. Both chronic alcohol abuse and short-term binge drinking can be harmful in this way. Sustained alcohol damage can also lead to alcoholic hepatitis, cirrhosis, abnormal liver function, and a significantly higher risk of liver cancer than in the general population. For people who drink a lot of alcohol and develop a fatty liver, it is necessary to stop drinking and seek medical attention. 4. Drug side effects and hepatitis can also lead to fatty liver. Since poisoning and damage to liver cells can lead to fatty liver, can other factors that damage the liver do the same? It is entirely possible. It is relatively clear that some drugs with liver side effects may cause fatty liver when taken for a long time, such as the common hormone drugs, and the anti-arrhythmic drug amiodarone. Therefore, if you have to use such drugs for a long time, your doctor will advise you to review your liver function regularly and adjust your drug regimen if there are any abnormalities. In addition, viral hepatitis, especially hepatitis C, may also manifest itself as fatty liver in the early stages. 5, very thin people may get fatty liver instead There are some people, not fat, not drinking, not taking medication, no hepatitis, and also eat very little very light, but also found fatty liver, and this is why? Because the liver does not only synthesize and break down fat, it also has a reserve function. When the liver encounters “starvation”, it will think that the body has entered a state of “famine”, so it begins a “war mobilization”, a large number of fat reserves, reduce the breakdown of fat and transport out, in order to prepare for Therefore, for people who have been malnourished for a long time, or who have been dieting excessively, fatty liver may also appear. Therefore, it is important to lose weight in a scientific and reasonable way, and not to disregard dietary balance by giving up the necessary energy intake just because of weight loss. Fatty liver itself is not a serious disease, but because it is not unrelated to other aspects of health problems, the discovery of fatty liver cannot be passed by a simple sentence of eating lighter, but the causes should be further investigated.