Large percentage of liver donors in India have fatty liver

Liver transplants in India are facing a strange hurdle — fatty liver. Top surgeons say nearly 50% of livers from live donors and 80% of those from cadavers are rejected because there is excess accumulation of fat in the organ. 

With increasing obesity, diabetes and metabolic syndrome, doctors fear the rate of rejection may go up further. 

A liver that's up to 20% fatty is accepted for donation. When a donor is diagnosed with 20-30% fat in the liver, doctors try to put him or her on special diet and strict exercise regimen to reduce the fat. But those with higher percentage of fat are outrightly rejected. Unlike donors in the western world, Indians who are lean may also have fatty liver. Though no one knows the exact cause of it, scientists blame our genetic predisposition for the condition.

The liver resides in close proximity to intestines. It is thought that non-Caucasians (including Indians) have a different bacterial population that interacts with the immune system and sends signals to the liver which makes us accumulate more fat. 

How does fatty liver affect a transplant? Retrieving a portion of the liver from a person suffering from the condition could put both the donor and the recipient's life at risk. 

In a liver transplant, doctors take out a portion of the liver from the donor and place it in the diseased patient. But if the liver is fatty, the donor may suffer from organ failure due to reduced capacity of the remaining organ to process food. The recipient is also at risk for developing toxicity which is fatal. 

To counter the problem, most transplant centres ask family members to reduce liver fat. Clinical experience shows 10% weight reduction leads to significant reduction in liver fat. For that, doctors suggest rigorous exercise, diet modification including limiting the intake of food items containing complex sugar such as carbonated drinks and medications such as vitamin E. 

Every year, more than 60,000 people die in India due to liver failure. At most, 1,500 lives are saved with liver transplant — the only treatment option available to such patients — due to lack of donors. The irony of the situation is that more people are suffering from liver failure due to fatty liver disease. But the number of people who can donate is also reducing due to the same condition.

Daily dose of sugary drinks pose risk of non-alcoholic fatty liver disease

Making a habit of drinking sugar sweetened drinks on a daily basis can prove harmful for liver, as a new study claims that it increases the risk for non-alcoholic fatty liver disease (NAFLD).

Tufts University (USA) researchers analysed 2,634 self-reported dietary questionnaires from mostly Caucasian middle-aged men and women enrolled in the National Heart Lunch and Blood Institute (NHLBI) Framingham Heart Study's Offspring and Third Generation cohorts.

The sugar-sweetened beverages on the questionnaires included caffeinated- and caffeine-free colas, other carbonated beverages with sugar, fruit punches, lemonade or other non-carbonated fruit drinks. The participants underwent a computed tomography (CT) scan to measure the amount of fat in the liver and the authors of the current study used a previously defined cut-point to identify NAFLD. They saw a higher prevalence of NAFLD among people who reported drinking more than one sugar-sweetened beverage per day compared to people who said they drank no sugar-sweetened beverages. 

The relationships between sugar-sweetened beverages and NAFLD persisted after the authors accounted for age, sex, body mass index (BMI), and dietary and lifestyle factors such as calorie intake, alcohol, and smoking. In contrast, after accounting for these factors the authors found no association between diet cola and NAFLD.

Sugar-sweetened beverages are a major dietary source of fructose, the sugar that is suspected of increasing risk of NAFLD because of how our bodies process it.

The study was published in the Journal of Hepatology. The study added to a growing body of research suggesting that sugar-sweetened beverages may be linked to NAFLD and other

Alcohol can harm multiple organs not just liver

Some of the ways alcohol affects our health are well known, but others may surprise you. Here are six less-known effects that alcohol has on your body:

1. Drinking gives your body work to do that keeps it from other processes. Once you take a drink, your body makes metabolizing it a priority — above processing anything else. Unlike proteins, carbohydrates and fats, your body doesn’t have a way to store alcohol, so it has to move to the front of the metabolizing line. This is why it affects your liver, as it’s your liver’s job to detoxify and remove alcohol from your blood.

2.Abusing alcohol causes bacteria to grow in your gut, which can eventually migrate through the intestinal wall and into the liver, leading to liver damage.

3.Too much is bad for your heart. It can cause the heart to become weak (cardiomyopathy) and have an irregular beat pattern (arrhythmias). It also puts people at higher risk for developing high blood pressure.

4.People can develop pancreatitis, or inflammation of the pancreas, from alcohol abuse.

5.Drinking too much puts you at risk for some cancers, such as cancer of the mouth, esophagus, throat, liver and breast.

6.It can affect your immune system. If you drink every day, or almost every day, you might notice that you catch colds, flu or other illnesses more frequently than people who don’t drink. This is because alcohol can weaken the immune system and make the body more susceptible to infections.

Your liver heads up alcohol breakdown process

When you drink, here’s what happens in your liver, where alcohol metabolism takes place.

Your liver detoxifies and removes alcohol from the blood through a process known as oxidation. Once the liver finishes the process, alcohol becomes water and carbon dioxide. If alcohol accumulates in the system, it can destroy cells and, eventually, organs. Oxidative metabolism prevents this.

But when you’ve ingested too much alcohol for your liver to process in a timely manner, the toxic substance begins to take its toll on your body, starting with your liver. The oxidative metabolism of alcohol generates molecules that inhibit fat oxidation in the liver and, subsequently, can lead to a condition known as fatty liver.

Fatty liver, early stage alcoholic liver disease, develops in about 90 percent of people who drink more than one and a half to two ounces of alcohol per day. So, if you drink that much or more on most days of the week, you probably have fatty liver. Continued alcohol use leads to liver fibrosis and, finally, cirrhosis.

The good news is that fatty liver is usually completely reversible in about four to six weeks if you completely abstain from drinking alcohol. Cirrhosis, on the other hand, is likely to lead to liver failure despite abstinence from alcohol.

Childhood Obesity leads to Higher Risk Of Liver Disease With Hypertension

Over a third of American children are overweight or obese, and a study shows that this will have a devastating effect on their health as the risk for liver disease and other serious health problems grows much higher for these children putting their young lives at risk.

In a study, researchers found that children who were obese were at a higher risk for the nonalcoholic fatty liver disease, usually called NAFLD, which would also put them at a higher risk for strokes and heart attacks. In this study, they looked at those children who had already developed NAFLD and recorded their blood pressure. Of the 484 children between the ages of two and 17, around 36 percent already had high blood pressure which means that they are at higher risk for heart disease, heart attacks, and stroke.
Along with being at an increased risk for cardiovascular disease, it was found that children with NAFLD who had high blood pressure were significantly more likely to have more fat in their liver than children without high blood pressure. This could lead to a more serious form of liver disease.
The study was published last month and echoes the growing body of research on childhood obesity. In addition to liver disease and high blood pressure, childhood obesity can also lead to diabetes, sleeping and breathing problems, and puts an enormous strain on their growing bones and joints. Fatigue and depression can often accompany obesity as well, but a balanced, whole foods diet high in fresh fruits and vegetables, healthy fats like those found in salmon and nuts, and reducing or eliminating refined sugars and processed foods can help children be healthy now and in the future. America’s growing obesity problem is taking its toll on the health of American children, with one in five children becoming overweight by age six. One in three kids and teens are overweight, and the United States is facing a major health crisis as these children become plagued with life long illnesses and shortened life spans. The United States is steadily losing the fight for our kids and for the nation’s future, as childhood obesity rates will continue to rise if Americans do not make some dramatic changes in our food quality and way of life.

Non-Alcoholic Fatty Liver Disease - NAFLD

Fatty liver becomes a big problem with changing lifestyles

Diseases affecting the liver represent an area of great unmet medical need in the western medicine. Fatty liver disease, the accumulation of fat in liver cells, is the number one liver disease in the United States and a silent killer of epidemic proportion. The accumulated fat leads to inflammation that eventually leads to fibrosis, or scarring of the liver. In turn, the fibrosis leads to cirrhosis of the liver, which if not cured at the early stage can become an irreversible disease largely only resolved through transplantation. There is also an association between advanced fatty liver disease with fibrosis and liver cancer.

The problems with hoping for a liver transplant are that only about 6,300 liver transplants happen in the U.S. each year, it is a major procedure requiring lifelong immune suppression, and those that receive a transplant have a risk of fatty liver disease reoccurring. Also liver transplant is very expensive and is beyond the reach of many middle class and lower middle class patients with no good insurance especially in the developing world.

Even more problematic, fatty liver disease is essentially asymptomatic until the latter stages. The disease is usually only diagnosed via routine screening for elevated enzymes, a seasoned physician requesting subsequent imaging tests and then a liver biopsy to confirm. To that end, fatty liver disease is often times not diagnosed until it has reached more advanced stages, a time when it will be difficult to reverse the damage.

For most people when they hear cirrhosis, the first thing that comes to mind is images of alcohol abuse. While that is certainly a pathway, fatty liver disease is also closely associated with obesity and diabetes, two diseases spiraling out of control in the U.S. and other countries. Further, nonalcoholic fatty liver disease (NAFLD) is affecting about 30 percent of the U.S. population, without any treatment options in western medicine. One of the study has found that the obesity rate is rising very fast among Americans. In the U.S. alone, more than 25 million people are diagnosed with diabetes, with the number growing. Worldwide, the number explodes to about 350 million. According to the Centers for Disease Control and Prevention, 36 percent of U.S. adults and 18 percent of children aged 12 – 19 were clinically obese in 2010. While more than one-quarter of Americans have fatty liver disease, about 9 out of every 10 clinically obese citizens have the condition. In fact fatty liver disease is more prominent than either hepatitis B or C and growing in numbers. 

 

Right now the traditional or alternative medicine along with diet control and exercise provide a good option of curing fatty liver and it can be reversed if precautions and actions are taken at the right time.

Suggested Diet to prevent Fatty Liver

Make it a habit to start your day with a plate of good old oatmeal. Add dry fruit, walnuts and honey for better taste and even more health benefits. Such healthy breakfast will lower your blood sugar, improve digestion, give you energy and make you feel full for many hours.

Include cultured dairy products into your daily food intake. Those are for example yogurt, buttermilk, cottage cheese, kefir, etc. They improve digestion, remove fats from our body, and therefore improve liver function as well. Eat 1 cup of yogurts or cottage cheese a day as snack. It will ensure your liver health and also help you lose extra weight.

Including vegetables and fruits is essential for any healthy diet. They are both delicious and nutritious providing us with vitamins, minerals, and energy. But certain vegetable can also improve our liver function and are great for preventative diet for fatty liver.

Or liver loves carrots, bell peppers, pumpkin, butternut, tomatoes (fresh), oranges, lemons, grapefruits. So make sure you eat these fruits and vegetables regularly.

To prevent fatty liver disease eat few tablespoons of honey and cranberry jam every day. This jam is easy to make, very yummy and full of health benefits. To prepare it simply combine 1 cup of fresh cranberries with 1 cup of honey. You may eat is as is, or spread it over the toast or add it to our tea.

Warning: this jam is not recommended for those who have diabetes or gastrointestinal problems.

Get into habit of having few vegetarian days every week. During those days eat vegetables, whole grains, beans, nuts and dairy. Avoid fatty meats, cheeses, butter, eggs, bacon, burgers, cakes, etc.

This trick will take a load off your liver, cleanse your body and will help you to get rid of extra pounds. And it is not hard to do especially when you know that it is only for one day.

As always: drink plenty of water (at least 8-10 cups a day). It is best to drink water in between your meals and choose good quality spring water for this purpose.

Eat small frequent meals. Usually it is best to have 5 meals a day with 3 larger meals such as breakfast lunch and dinner and 2 smaller ones (as we called them – snacks). Of course you should adjust this rule to your personal lifestyle. Just make sure you have at least 4 meals a day.

Fatty liver disease can be caused by parasites as a result of bad quality foods and poor personal hygiene. Make sure all animal products that you consume are clean and hygienic. Thoroughly wash your fruits, vegetables before you eat them. Avoid eating raw chicken eggs, and uncooked meats.

Alcohol is perhaps the biggest liver enemy – it permanently destroys liver cells and frequent alcohol intake may lead to very serious liver conditions. Try limit your alcohol intake and prefer red wine to other alcoholic beverages especially those with high alcohol content.

Along with diet control if you are suffering from fatty liver than Kamalahar (www.khatorepharma.com) is very effective in its treatment.

Cases of Fatty Liver problem increases among Singaporeans

Singapore is a developed country with people having an affluent lifestyle. With the rise in affluence, many young people are not getting affected by liver problems. Fatty liver problem is generally considered to be an old age problem, but now fatty liver is becoming common among young people who drink little or no alcohol.

"The incidence of fatty liver in Singapore is increasing just like in most parts of the developed world. Many of the relatively young people whom I treat for gallstone disease also have fatty liver," says Pierce Chow, senior consultant at the Department of General Surgery of Singapore General Hospital (SGH) and professor at the Duke-NUS Graduate Medical School Singapore.

A fatty liver is an abnormal accumulation of fats in the liver cells. Non-alcoholic fatty liver is closely linked to obesity, diabetes and the metabolic syndrome, conditions which are also on the rise in the developed countries. Studies have shown that 80 per cent of obese people and 70 per cent of people with diabetes have fatty liver disease. High cholesterol and high blood pressure are also correlated with fatty liver although fatty liver can be found among the young and thin with no high blood pressure.

The western medicine does not have a good cure for fatty liver. Most of the patients have to depend on diet control and exercise to reverse it. However, if fatty liver is not managed properly, it can lead to a more serious liver disease called non-alcoholic steatohepatitis (NASH) where the fatty liver becomes inflamed. NASH may progress to permanent scarring and hardening of the liver, a condition called liver cirrhosis. People with liver cirrhosis have a higher risk of liver cancer. A fatty liver also carries a higher risk of liver failure, should surgery of the liver be required. The good news is that alternative medicine or ayurvedic medicine is proven to be quite effective in the treatment of fatty liver. One such ayurvedic product is Kamalahar (www.khatorepharma.com) which is very effective in the treatment of fatty liver. Along with taking Kamalahar, patients suffering from fatty liver must follow diet control. They must avoid alcohol completely and minimize the intake of fatty and oily food. The patients have to cut down on carbohydrates and eliminate refined sugar, e.g no sugar in coffee. They have to eat plenty of vegetables, whole grains, pulses and legumes. Apart from diet control, if the patients do regular exercise than it can help speed up the recovery. If possible, they should exercise at least five times a week. Each session should last at least 30 minutes. It can be any form of exercise but it should at least raise the pulse rate moderately.

Start of Blue Ocean Strategy Journey Of Kamalahar

It was one of the regular trips to Noamundi TISCO club. The club is located in a very nice and serene environment of the mining belt of Singhbhum district of India. Many a big honchos of TATA group have met there and created their own blue oceans in iron and steel industry.

During the course of conversation both Mr. Vijay and I started discussing about how to take Kamalahar to the new market place. Based on the visual exploration that Khatore Pharmaceutical executives had done, it was clear that there was a great untapped market in the curative area of liver treatment. The liver problem was growing among urban middle class and there was no product positioned to cure the liver problem especially hepatitis, cirrhosis, fatty liver, Ascites, jaundice.
That discussion led us to Jaipur, the pink city of India. That was just before deepawali, the festival of light and also the day when many Indian businessmen worship goddess Lakshmi, the goddess of wealth. The beginning was almost like a line from the book Alchemist. When you are following your destiny the whole world will conspire to make it happen. When we had our first face to face meeting with the partners in Jaipur who were going to play a key role in the successful execution of blue ocean strategy, things started falling in place quickly and led to where we are today.

Genting highland retreat for Kamalahar

Genting highland is a wonderful and beautiful place in Malaysia. It is in the state of Pahang. The journey started with a bus ride from Kuala lumpur to the cable car station of genting. It was quite smooth as there was not much traffic due to ID celebration.

Once we reached cable car station we had to go through a pain of 1 and half hour of standing in the line. But once we got into the cable car, it was awesome as the ride was quite cool. We went through the mountains and deep forest full of mist. It took us another 15 minutes to reach Genting.

Once we reached Genting and settled down, we started the discussion on how to take Kamalahar to numerous sufferers of Hepatitis, cirrhosis, fatty liver and Ascites. We discussed our blue ocean strategy of expanding the customer base to reach as many noncustomers as possible in quick time.
We are quite excited about the prospects and soon see some interesting results.

Kamalahar on the verge of tipping point

Kamalahar, Ayurvedic liver medicine, is on the verge of tipping point. The word of mouth has started to spread fast and is growing every month. It started in a small way but slowly it is starting to pick up. Word of mouth is the cheapest marketing that can help the company reach a large audience at low cost.
Khatore Pharma online strategy is a blue ocean in the medicine world. It provides high value to the customers at a very low cost. The cost of 1 course of 6 month treatment for hepatitis, cirrhosis, fatty liver, ascites is less than 100 dollars. The alternative for the patients is to spend hundreds of thousands of dollars on expensive western medicine.
The company is a pioneer in the developing world as far as pharma industry is concerned. Now only thing that we have to see is if the strategy takes the company into full blue ocean or not.

Hepatitis A outbreak reported in a small town of Malaysia

Malaysia is a middle income nation which is endowed with rich natural resources. At the same time the heavy rainfall and remoteness of some of the places make them vulnerable for water borne diseases. Recently there was an outbreak of liver disease. Many people have been reported to be suffering from hebatitis in a small remote town in Malaysia. Twenty-seven people have been admitted to hospital in Malaysia, suffering from hepatitis A, a viral liver disease that can cause mild to severe illness.

It is spread by faecal-oral transmission when a person ingests food or drink contaminated by an infected person's faeces. so it is usually spread by dirty hands preparing food. Waterborne outbreaks, though infrequent, are usually associated with sewage-contaminated or inadequately treated water. It is incredibly infectious.

There is no specific treatment for hepatitis A virus infection in allopathic or western medicine. But there are proven treatments in herbal or ayruvedic medicines. Recovery from symptoms following infection may be slow and take several weeks or months. Therapy is aimed at maintaining comfort and adequate nutritional balance, including replacement of fluids that are lost from vomiting and diarrhoea. It is a debilitating disease causing inflammation of the liver. Hepatitis A is a vaccine-preventable disease. One vaccine protects for 1 year; if another one is given within that time, protection is for at least 25 years or maybe even for life.

Ayurvedic medicine Kamalahar is proven to be quite effective in the treatment of liver problem such as treatment of hepatitis and treatment of fatty liver.

The authorities have cleaned up the river that has been found to be the source of a Hepatitis A outbreak which affected people from three villages in Hulu Terengganu. Kampung Basung, Kampung Pasir Dula and Padang Setebu were declared as an outbreak area since Sunday after 42 people were admitted to Hulu Terengganu Hospital.  The health department has also conducted a cleaning exercise, including fogging, at the villages. It is believed that the cause of the outbreak came from an native Malaysian settlement near the water source. Health department workers have treated the water source with chlorine. Of the 42 people infected, 27 were from Kampung Basung, 14 from Kampung Pasir Dula and one from Kampung Padang Setebu.

Fatty liver disease can have far reaching consequences

One of the major functions of the liver is to remove toxic and waste materials from the body. Liver filters the waste materials and removes them from the body. It purifies the blood and also synthesizes bile which helps in digestion of fat. Liver also helps by storing energy, vitamins and minerals and produces important blood clotting factors. It also helps by regulating blood sugar and cholesterol levels.

Many studies have shown that 90% to 100% of heavy alcohol drinkers develop fatty liver disease. This happens slowly and generally leads to many other problems. It is therefore important to ensure that the liver is healthy and performing at an optimum level. Fatty liver is a common condition which can affect the liver silently and it estimated that about 17% of Malaysian’s are affected by this condition.

A normal and healthy liver usually has 2% to 5% fat. If the fat accumulation crosses over 5% of liver weight, this is what is generally known as fatty liver. When fat exceeds 10% of liver weight, the fat cells can damage liver cells. The development of fatty liver generally happens in three stages.

The first stage is what is called simple fatty liver. In this stage, the liver progressively accumulates fat, and this is early liver damage. This condition is generally known as non-alcoholic fatty liver disease (NAFLD). Most people have no symptoms at this stage and the liver is not enlarged.

The second stage is called Inflammation of liver cells (Non-alcoholic steatohepatitis). In this stage excessive fat causes inflammation and eventually damages liver cells. Also the dead liver cells will form scar tissue.

The third stage is hardening of the liver (cirrhosis). In this stage excessive scarring causes hardening of the liver, and liver fails to perform properly.

The people with the following condition have higher risk for developing fatty liver: high blood sugar levels, being overweight or obese, high cholesterol levels, alcohol drinkers.

Some of the ways to keep the liver healthy are: i) increase consumption of low glycaemic index foods – This will help to avoid rapid increases in blood sugar. Examples include fruit, whole meal bread, oats and soba noodles, ii) low fat diet – Fat should not exceed 20% of our total daily calorie intake. A high fat diet can increase cholesterol levels and increase the risk of developing a fatty liver, iii) High fiber diet – Increase intake of fresh fruits and vegetables, oats and grains. This can help to reduce blood sugar and cholesterol levels, iv) Regular exercise – Maintain moderate exercise for at least 30 minutes at least three times a week. This is the most effective way to maintain healthy body weight, v) Weight loss – In overweight and obese individuals, reducing weight will help to reduce the overall risk of developing a fatty liver.

Apart from preventive measures there are also herbal or ayurvedic products which can help in the treatment of fatty liver. The key herbal ingredients which help in the treatment of liver and keeping it healthy are Tecoma undulata, Phyllanthus urinaria, Embelia ribes, Taraxacum officinale, Nyctanthes arbortritis and Terminalia arjuna. One such ayurvedic or herbal product which has these ingredients is Kamalahar. It is proven to be very effective for the treatment of cirrhosis, fatty liver, hepatitis, jaundice, ascites.

As the liver is such an important organ, everybody needs to take care of liver properly. Liver cells are the only internal organ that can regenerate, as long as there are enough healthy cells; it’s never too late to protect your liver.

Good diet, exercise and herbal medicine Kamalahar can reverse the early stage fatty liver condition

Liver is one of the main organs of our body which plays a key role in the digestion and keeping the body healthy. Liver is the key organ in our body when it comes to keeping our body healthy and also to fight and ward off disease and illness. Liver has been described time and again as the body's toxic disposal plant. The liver is the largest organ in our body and is by far the primary way we eliminate dangerous toxins and other waste items. The liver also helps process nutrients and stores vitamins and minerals.

When the liver stops functioning in a normal way it is because many times the liver or bile ducts become clogged, injured or otherwise impaired. When the liver is not functioning well some of the toxins might not be eliminated in a normal way. When toxins cannot be efficiently eliminated via the liver and bile ducts, the body tries to eliminate some of them through secondary routes, such as the skin. Skin rashes, spots and other skin problems are common in those whose livers are impaired.

Sometimes a liver that is not functioning well may turn into a fatty liver. Fatty liver is a condition where the liver turns from its role as an organ that processes and eliminates toxins to one which stores fats (and toxins in the fats). Some of the reasons behind the fatty liver are consumption of alcohol and poor diets.

There is a good hope in the early state of liver damage and it can be restored to good health with proper diet control and exercise. The liver can regenerate itself - so much so that a liver can be damaged or impaired all the way down to 29% of original function and still repair and regenerate itself completely if properly taken care of. A healthy diet is essential for good liver health, and there are also several specific natural food and supplement items which can help maintain and restore the liver to optimum natural function.

A healthy diet and lifestyle are both essential for regaining liver health and function, including getting rid of fatty liver condition. People who are suffering from early stage liver damage need to exercise regularly and include as much raw vegetable and some fruit as they can, including juiced vegetables and fruit. They should stay away from alcohol, processed meats and other processed and junk foods. Other items which can help the liver and bile ducts are coconut oil, beetroot juice and apple pectin.

Apart from the exercise and healthy diet some herbal products can help in restoring the liver to normal condition. There are many herbs which have been proven to be good for the treatment of liver disorders over the ages and herbal products based on those herbs can be very effective. Some of those herbs are Tecoma undulata, Phyllanthus urinaria, Taraxacum officinale, Nyctanthes arbortritis and Terminalia arjuna. One such ayurvedic liver treatment product is Kamalahar which is proven to be very effective for the treatment of fatty liver and also treatment of other liver disorders. It has been used by thousands of patients for the treatment of ascites, treatment of hepatitis, treatment of fatty liver, treatment of cirrhosis and treatment of Jaundice.

Fatty liver may be the next major health woe for urban people

Fatty liver is expected to be a major health problem in urban areas due to the increasing affluent lifestyle and poor dietary habits.

Liver Foundations have said these two factors were leading to many obese and overweight people in urban areas.

Fatty liver is quite harmlful. In fact it has been shown to progress to liver scarring, hardening and also liver cancer.

Lifestyle modifications like exercise and a healthy diet are effective in preventing fatty liver in most individuals.

Most patients are asymptomatic and usually discovered the condition incidentally because of abnormal liver function tests or enlarged liver discovered when they saw the doctor for something unrelated.

Elevated liver enzymes are found in 50% of patients with simple steatosis (fatty change). Some patients developed non-alcoholic steatohepatitis (Nash).

It is thought that about 80% of individuals with fatty liver will not develop significant liver disease. The other 20% will develop Nash. From this, between 20% and 30% will go on to develop cirrhosis and end-stage liver disease, where the only real treatment is a liver transplant.

Ayurvedic medicine Kamalahar is highly effective treatment for fatty liver. It has ayurvedic ingredients which is every effective for the treatment of liver disorders including treatment of hepaitits, treatment of fatty liver, treatment of cirrhosis, treatment of ascites.