Do obese people get fatty liver disease?

Patient's question:

Since I turned forty, I've been getting leaner, and I often attend banquets, drinking a lot of beer. My body has been getting fatter day by day, and my belly has become much larger. My wife is very worried about my health, so she took me to the hospital for a full-body check-up. The results showed fatty liver. My wife blamed me, saying that I don't exercise regularly and am now so fat, which is why I got fatty liver.

Doctor's answer:

I don't exercise regularly, and my body has been getting fatter day by day. My stomach has become much larger. Based on the many symptoms you described, the initial suspicion is fatty liver. There are many causes of fatty liver, in addition to obesity, people who are lean may have several conditions that can lead to it: drinking alcohol, a vegetarian diet, a history of gastrointestinal diseases, and medications. Excessive consumption can damage the liver, disrupt the metabolism of fat in the liver, and lead to fatty liver. A vegetarian diet and gastrointestinal diseases can result in insufficient protein intake or digestion and absorption disorders, leading to an increase in the production of lipoproteins by the liver, which disrupts fat distribution and causes fat to accumulate in liver cells, resulting in fatty liver.

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