January 14, 2023

1400H - 1500H
Via Zoom

Empowerment
objective - for
laypeople to have an
Fatty Liver
understanding of
FATTY LIVER in their
health management.
 ROJoson PEP Talk
Empowerment I have a Patient
objective - for Empowerment
laypeople to have an Program in which I
Fatty Liver like to empower the
understanding of
FATTY LIVER in their lay people or
patients to take
health management.
control in the
management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses in
the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
 My PEP TALK today is
entitled:
FATTY LIVER.
Empowerment
objective - for
laypeople to have an
Fatty Liver
understanding of
FATTY LIVER in their
health management.
 Contents
• What is a fatty liver?
Fatty Liver • What are the different types of fatty liver
disease?
• What are the courses of fatty liver diseases?
• What are the causes and risk factors for fatty
liver disease?
• How to diagnose fatty liver disease?
• What are the treatment / preventive measures
for fatty liver disease?
• Are supplements recommended for fatty liver
disease?
• What is the prognosis of fatty liver disease?
 What is a fatty liver?

A “fatty liver” is a condition in which extra or too

Fatty Liver much fat is stored in the liver.

When more than 5% – 10% percent of the liver’s

weight is fat, then it is called a fatty liver
(steatosis)

Other names for fatty liver:

• Fatty Liver Disease
• Steatosis (mild form)
• Steatohepatitis (severe form)
 What are the different types of fatty liver
disease?
Fatty Liver • Non-alcoholic fatty liver disease (NAFLD)
• Alcoholic fatty liver disease (AFLD)

• Non-alcoholic fatty liver disease (NAFLD) is the

build up of extra fat in liver cells that is not
caused by alcohol.
• Alcoholic fatty liver disease (AFLD) is seen in
people who drinks a lot of alcohol.
 What are the different types of fatty liver
disease?
Fatty Liver • Non-alcoholic fatty liver disease (NAFLD)
• Alcoholic fatty liver disease (AFLD)
Which one is more common?
• Nonalcoholic fatty liver disease (NAFLD) is the
In the world? NALFD - 25% prevalence
build
In the up of extraNAFLD
Philippines? fat in liver
- 35%cells that is not
prevalence
caused
More byNAFLD
likely, alcohol.
more common than AFLD
• Alcoholic fatty liver disease (AFLD) is seen in
because of high prevalence of obesity and
peoplewhich
diabetes who drinks
are riska lot of alcohol.
factors. (DM- 57%
prevalent).
https://www.upm.edu.ph/node/4052#:~:text=However%2C%20it%20is
%20alarming%20that,data%20were%20mentioned%20by%20Dr.
 What are the different types of non-alcoholic
fatty liver disease? (NAFLD)
Fatty Liver • Simple fatty liver
This occurs when there is fat in the liver, but little
or no damage to liver cells.
Simple fatty liver does not typically develop into a
more severe medical condition.
• NASH (non-alcoholic steatohepatitis)
A person who has developed NASH has
inflammation and damaged liver cells, as well as
fat in the liver. NASH can progress into a more
serious condition, such as liver cirrhosis, failure
and cancer.
 What are the different types of non-alcoholic
fatty liver disease? (NAFLD)
Fatty Liver
 What are the different types of non-alcoholic
fatty liver disease? (NAFLD)
Fatty Liver
 What are the different types of fatty liver
disease? (Alcohol Fatty Liver Disease)
Fatty Liver Alcoholic fatty liver disease (AFLD)
People who use alcohol excessively may develop
alcoholic fatty liver disease. As the liver breaks
down the excess alcohol, it can generate harmful
substances. This can result in liver cell damage
and inflammation.
This is the first stage of alcohol-related liver
disease, and if a person stops using alcohol, they
may be able to reverse it.
Alcoholic fatty liver disease can develop into
alcoholic hepatitis or cirrhosis.
 What are the different types of fatty liver
disease? (Alcohol Fatty Liver Disease)
Fatty Liver
 What are the courses of fatty liver diseases?

Fatty Liver
 What are the courses of fatty liver diseases?
Cirrhosis
Fatty Liver Cirrhosis is the most serious stage of liver
disease. It typically occurs when scar tissue
replaces healthy liver tissue. It can lead to liver
failure and liver cancer.
 What are the courses of fatty liver diseases?

Fatty Liver
Cirrhosis
Cirrhosis is the most serious stage of liver
disease. It typically occurs when scar tissue
replaces healthy liver tissue. It can lead to liver
failure.

Liver failure
Liver cancer
 What are the courses of fatty liver diseases?
Usually no symptoms in the early stage of fatty
Fatty Liver liver disease.
As disease progresses, symptoms appear –
initially nonspecific and eventually, more specific
suggestive of liver disease:

•itchy skin
•bruising or bleeding
•Bloating of the abdomen
•jaundice, which is when a person’s skin and eyes
turn yellow
 What are the causes and risk factors for fatty liver
disease?
Fatty Liver The cause of fatty liver disease is not entirely
clear. But the following are known risk factors:
• genetic
• overweight or obesity
• high blood pressure
• type 2 diabetes
• metabolic syndrome, which is a group of
medical conditions and characteristics linked
to obesity
 What are the causes and risk factors for fatty liver
disease?
Fatty Liver
 How to diagnose fatty liver disease?
Symptoms if there are. Usually NONE.
Fatty Liver
Diagnostic tests:

• Ultrasound (conventional / Fibroscan)

• Liver function tests (ALT / AST)
• Biopsy (needle)
 How to diagnose fatty liver disease?
• Ultrasound
Fatty Liver
 How to diagnose fatty liver disease?
• Fibroscan
Fatty Liver
 What are the treatment for fatty liver disease?

Fatty Liver Lifestyle changes and prevention

Making lifestyle changes is essential in treating

fatty liver disease.

Lifestyle changes may include:

•abstaining from alcohol
•eating a balanced diet / eating in moderation
•doing regular exercise
•avoiding unnecessary medications
 What are the preventive measures against fatty
liver disease?
Fatty Liver
Lifestyle changes and prevention

Making lifestyle changes is essential in preventing

fatty liver disease.

Lifestyle changes may include:

•abstaining from alcohol
•eating a balanced diet
•doing regular exercise
•avoiding unnecessary medications
 Are supplements recommended for fatty liver
disease?
Fatty Liver
Supplements, popularly known as “liver
vitamins” have not been proven by good scientific
evidence to be effective in treating fatty liver
disease. 

It only gives patients a false sense of security and

distracts their attention from doing what matters
(weight loss and lifestyle changes).
 What is the prognosis of fatty liver disease?
Outlook
Fatty Liver The most common risk factors for fatty liver
disease relate to obesity and overweight.
Taking steps to lose weight through diet and
exercise can reduce the risk of developing fatty
liver disease. This can also be a way to reverse
liver damage or to halt the progress of the
disease.
Once fatty liver disease has progressed further,
doctors find it more challenging to treat.
 What is the prognosis of fatty liver disease?
Outlook
Fatty Liver The most common risk factors for fatty liver
disease relate to obesity and overweight.
Taking steps to lose weight through diet and
exercise can reduce the risk of developing fatty
liver disease. This can also be a way to reverse
liver damage or to halt the progress of the
disease.
Once fatty liver disease has progressed further,
doctors find it more challenging to treat.
 Contents Summary
• What is a fatty liver?
Take Away
Fatty Liver • What are the different types of fatty liver
disease?
• What are the courses of fatty liver diseases?
• What are the causes and risk factors for fatty
liver disease?
• How to diagnose fatty liver disease?
• What are the treatment / preventive measures
for fatty liver disease?
• Are supplements recommended for fatty liver
disease?
• What is the prognosis of fatty liver disease?
 Summary

NAFLD and alcoholic fatty liver disease occur

Fatty Liver when fat builds up in the liver. This can cause the
liver to stop functioning correctly.

Fatty liver disease is often symptomless.

If the disease progresses and develops into

cirrhosis, a person may experience jaundice,
itching, and swelling.
 Summary
The cause of fatty liver disease is unknown, but
Fatty Liver certain health conditions may contribute to its
development.
Treatment is not straightforward, but a person
can help or prevent fatty liver disease by
maintaining a moderate weight, taking regular
exercise, and not using alcohol to excess.
 Be always in touch with reliable medical Take Away in
information on FATTY LIVER. relation to
Fatty Liver Patient
Knowledge is power; it gives power.
Empowerment
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of oneself by
knowing FATTY LIVER in one’s health
management.
 Empowerment
objective - for
laypeople to have an
Fatty Liver
understanding of
FATTY LIVER in their
health management.