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Fatty liver isn’t an alcohol issue and it isn’t a weight issue first. It’s a metabolic overflow problem driven by chronic insulin signaling. Long before ALT rises or ultrasound reports change, the liver adapts by converting excess carbohydrate and fructose into fat to protect blood glucose. That’s why people with “normal weight” still develop fatty liver. By the time it’s detected, the process has usually been active for years. The liver warns early. We just don’t test for it properly. #fattyliv
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