Is fatty liver caused by obesity?

Patient's question:

During a health check at my workplace, I found out that I have fatty liver. I feel that my body has always been very good, and I also smoke very little or drink beer rarely. The only drawback is that I am very obese. I have tried dieting, but it hasn't worked. I think it might be the reason for this, and I am now trying hard to diet. Is fatty liver caused by obesity?

Doctor's answer:

Fatty liver is somewhat related to obesity. The risk of fatty liver in obese individuals is indeed lower than that in the general population, with approximately 50% of obese patients suffering from fatty liver. The main reason is that obese individuals have a high level of free fatty acids in their blood, which are continuously transported to the liver. When the liver's ability to load and decompose these fatty acids is significantly reduced, it leads to the accumulation of fat in the liver, resulting in obesity-related fatty liver. Additionally, during the treatment of fatty liver, the patient's dietary condition and care are also very important. Patients should pay close attention to rest and engage in appropriate activities to avoid unnecessary injuries.

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