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October 15, 2025 25 mins

One in three adults now has fatty liver disease, and most don’t even know it. It’s become the most common form of liver dysfunction worldwide—even outpacing alcohol-related liver damage. And the real danger? It often progresses in silence, from fat to inflammation to fibrosis, with no symptoms until it's too late.

In this episode of ReInvent Healthcare, Dr. Ritamarie exposes a quiet transformation that's becoming alarmingly common: the metabolic cascade behind fatty liver. It doesn’t start with pain or obvious signs. It starts with subtle shifts in biochemistry that most protocols completely miss.

Before the liver scars, there are clues. And if you know where to look, you can help reverse the damage long before it becomes permanent.

What’s Inside This Episode?

  •  Why liver damage is now driven more by food than by alcohol
  • The signals that mark the shift from fat accumulation to fibrosis
  • What “normal” AST and ALT might be hiding, and how to interpret them
  • A critical lab ratio that reveals what single values can’t
  • Early metabolic signs that point to liver inflammation before imaging shows a thing
  • Therapeutic strategies to restore liver function, starting with the kitchen
  • How trauma and oxytocin tie into liver recovery
  • The botanical allies that protect and regenerate hepatic tissue

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