MASLD: What It Is, How It Develops, and What You Can Do

When doctors talk about MASLD, Metabolic Dysfunction-Associated Steatotic Liver Disease, a condition where fat builds up in the liver due to metabolic issues, not alcohol. Also known as non-alcoholic fatty liver disease, it’s now the most common liver condition in the world—affecting nearly one in three adults. This isn’t just about being overweight. It’s about how your body handles sugar, fat, and insulin. Even people who look thin can have MASLD if their metabolism is out of sync.

MASLD doesn’t happen overnight. It starts with too much sugar and refined carbs, leading to insulin resistance. Your liver starts storing fat instead of burning it. Over time, that fat triggers inflammation. If nothing changes, you could develop fibrosis—scarring that slowly weakens your liver. It’s silent until it’s not. Many people only find out during a routine blood test or ultrasound for something else. What makes MASLD different from old-school fatty liver labels is that it focuses on the root cause: metabolic dysfunction. That means it’s not just about weight. It’s about blood sugar spikes, high triglycerides, low HDL, and belly fat. These are the real markers.

Related to MASLD are conditions like type 2 diabetes, a metabolic disorder where the body can’t use insulin properly, often driving fat buildup in the liver, and high blood pressure, a common companion to insulin resistance and liver fat accumulation. You can’t fix MASLD by just taking a pill. It responds to real changes: moving more, cutting back on sugary drinks, eating whole foods, and losing even 5-10% of body weight. The good news? Early-stage MASLD is often reversible. The liver can heal if you give it the right environment.

What you’ll find in the posts below isn’t just theory. It’s real-world guidance on how medications, supplements, and daily habits interact with liver health. You’ll see how drugs like statins, GLP-1 agonists, and even common painkillers can affect your liver. You’ll learn about diet shifts that actually work, what to avoid, and how to track progress without endless testing. There’s no magic cure—but there are clear, proven steps. And they all start with understanding what MASLD really is.

Nonalcoholic Fatty Liver Disease: Risks and How to Prevent It

Nonalcoholic Fatty Liver Disease: Risks and How to Prevent It
16 January 2026 Shaun Franks

MASLD, formerly called NAFLD, affects 1 in 4 adults worldwide and is linked to obesity, diabetes, and poor metabolism. Learn how weight loss, diet, and exercise can reverse it before it leads to liver damage.

Celiac Disease and Liver Abnormalities: How Gluten Triggers Liver Issues

Celiac Disease and Liver Abnormalities: How Gluten Triggers Liver Issues
1 December 2025 Shaun Franks

Celiac disease can cause elevated liver enzymes and fatty liver, often before gut symptoms appear. A strict gluten-free diet reverses most liver abnormalities in 12-18 months, but processed gluten-free foods may worsen fatty liver. Screening is key for early intervention.