Dr. Jaiwant Rangi explains why liver disease isn't about weight or alcohol but visceral fat, and why lean people can develop fatty liver while heavy people stay healthy. He also warns that ignoring early heart attack warning signs, what he calls a "check-engine" alert, costs lives and money.
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We know it's not the alcohol, it's the fat that's leading to liver failure. So we really need to take that serious. And we notice that some people, in spite of having a lot of weight, may not have fatty liver disease. Others are lean and have relatively more visceral fat or fat around the organs, and they get more fatty disease, fatty liver disease. So that's why we cannot say one size fits all, and we need to recognize individual risk factors and try to understand how to give that precision personalized care for individual patients. Other than that, there have been a lot of patients with heart attacks, sudden heart attacks that I've seen over time who have ignored the early subtle signs of check engine. So I think it's very important for people to recognize earlier signs so they can, one, reverse, two, prevent crisis, and three, save cost over time and feel the best they can.