Fatty liver in non-drinkers: the silent epidemic of MASLD and why your liver may be under threat

prateikpoddar
Nov 12, 2025
2 min read

The Surprising Rise of Fatty Liver in Non-Drinkers

When we hear “fatty liver,” most people assume alcohol is the culprit. But in the last few years, Dr. Prateik Poddar, one of Kolkata’s leading liver specialists, has noticed a sharp increase in fatty liver disease among non-drinkers — a condition now re-named MASLD (Metabolic Associated Steatotic Liver Disease).

Modern lifestyles — rich diets, low activity, irregular meals, and obesity — are now fueling this silent liver epidemic across India. Many patients discover it accidentally during an ultrasound for another issue.

What Exactly Is MASLD?

MASLD (previously called NAFLD – Non-Alcoholic Fatty Liver Disease) occurs when fat accumulates in liver cells due to metabolic factors like:

Overweight or central obesity
Type 2 diabetes or prediabetes
High cholesterol and triglycerides
Sedentary lifestyle
Unhealthy diet rich in sugar and processed carbs

Over time, this can progress from simple fat accumulation to inflammation (MASH) and even liver fibrosis or cirrhosis if left unchecked.

Why You Shouldn’t Ignore It

Most MASLD patients have no symptoms at all — making it one of the most under-diagnosed liver conditions. However, warning signs may include:

Unexplained fatigue or weakness
Mild right-upper abdominal pain
Bloating or heaviness after meals
Elevated liver enzymes on a routine test

“Fatty liver doesn’t just harm your liver — it’s a red flag for heart disease, diabetes, and metabolic imbalance. Early detection and correction are crucial.”

Diagnosis: How We Detect Fatty Liver Early

At Gastro & Liver Care Clinic, Kolkata, at both branches in Baguihati and Vivekananda Road offer:

Liver Function Tests (LFTs)
Ultrasound Abdomen
FibroScan for liver stiffness assessment
Comprehensive Metabolic Screening

These painless tests help identify early MASLD and monitor recovery after treatment or lifestyle changes.

Reversing Fatty Liver: What Really Works

The good news — MASLD is reversible if detected early with a combination of medical guidance and lifestyle intervention:

Weight reduction through balanced diet & activity
30 minutes of brisk walk daily
Avoid refined sugar, white rice, and junk food
Increase fruits, vegetables, lean protein, and hydration
Limit alcohol completely
Monitor blood sugar and cholesterol regularly

Even a 5–10% weight loss can significantly improve liver health.

When to See a Liver Specialist

If your recent reports show fatty liver, or you have high triglycerides, obesity, or insulin resistance, don’t ignore it. A consultation with a qualified liver specialist can help you prevent long-term damage. At Gastro & Liver Care Clinic, Dr. Prateik Poddar provides: