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Dr. Rahul Rai

MD - Internal Medicine, DM - Hepatology
16 Years Experience
1000 Consultation Fee
Personal Statement
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.

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He has over 16 years of experience as a Hepatologist. He is a qualified MD - Internal Medicine, DM - Hepatology. Book an appointment online with Dr. Rahul Rai on Lybrate.com.

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MD - Internal Medicine
DM - Hepatology
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda

    In modern day societies of intense stress and work pressure, the average diet mostly comprises of street foods, packaged fast foods and processed foods. Such stress and overexposure to a lot of toxins (present in the processed food, fast foods, and street foods) disable the liver from performing its primary function of cleansing the toxic materials through the skin, the respiratory and the digestive system. Besides, this overexposure to toxins also disrupts bile formation, which hinders the absorption of necessary nutrients, resulting in a severe disruption in health. Also, liver is responsible for the proper functioning of the eyes, the brain, the kidneys and the joints in the body. Thereby, it is necessary to include these 7 foods in your diet which help to detoxify your liver from the excessive toxins and allow it to function properly.

    1. Avocado: Avocados contain a rich amount of the antioxidant glutathione, which helps the liver to fight against the toxins.
    2. Garlic: Garlic contains a rich amount of selenium and allicin, which helps to cleanse the liver. A little amount of garlic helps in the activating liver enzymes which in turn helps to eliminate the toxins from the body.
    3. Green tea: Green tea contains a rich amount of the plant antioxidant known as Catechin, which help the liver to function properly. It also helps to protect the liver from the toxins.
    4. Beets and Carrots: Beets and carrots contain a rich amount of beta - carotenes and plant flavonoids which help to regulate the overall function of the liver.
    5. Turmeric: A little amount of turmeric in your daily meal helps in the cleansing the liver by helping the enzymes to get rid of the toxic carcinogens.
    6. Green Vegetables: Green Vegetables like spinach, bitter gourd and chicory contains a rich amount of detoxifying components, which helps in the neutralization of heavy metals which in turn regulates the cleansing ability of the liver. Green vegetables also help in the simulation of the flow of bile.
    7. Grape Fruit: Grapefruits contain a rich amount of vitamin C and antioxidants which initiates the cleansing process of the liver. Grapefruits also help in the formation of enzymes that destroys toxins like carcinogens.
  • MD, BHMS

    A number of health problems today are caused by an unhealthy lifestyle. One such condition is a fatty liver or collection of fat in the liver. The buildup of fats in the liver is known as Fatty Liver. The liver processes everything that you eat or drink and filters harmful substances from the blood. If too much fat has accumulated in the liver, this process gets interfered with. These fat cells cause inflammation of the liver tissues which in time can lead to scarring and liver fibrosis. On its own, a fatty liver is relatively harmless, but when it reaches this stage, it can be life threatening.

    The reasons for Fatty Liver can be alcoholism, incorrect diet, obesity, diabetes, or even excess use of medication.

    If ignored or left untreated, many liver diseases will lead to permanent and irreversible damage to the liver and can be a significant threat to your health. But, there is no standard form of treatment for a fatty liver. If diagnosed in its early stages, treating the underlying cause can stop the progression of the disease and even resolve it. Homeopathy addresses the underlying causes of a disease and hence is an ideal form of treatment for a fatty liver. It can reduce the symptoms of this disease, improve liver functioning and even reverse the condition if treatment is started early.

    The Homeopathic medicines, which are made of natural substances, are given to patients after studying the unique symptoms experienced by each individual. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. Homoeopathy is very proficient in managing all the symptoms of Fatty liver disease and furthermore plays a vital role in preventing relapse of the condition.

    Some of the most common homeopathic medicines for fatty liver are

    1. Chelidonium: This is often used to treat a fatty liver accompanied by right upper abdominal pain. In such cases, the liver may be enlarged and the patient also usually suffers from constipation or experience nausea and vomiting. The patient will also probably suffer from excessive weakness and have a desire for hot food and drinks.

    2. Lycopodium: A fatty liver accompanied by acidity can be treated with this type of homeopathic medication. In such cases, the patient will also complain of bloating and belching with a burning sensation. These symptoms tend to worsen n the evening and the patient may have an intense craving for sweets and hot drinks.

    3. Phosphorus: This is used to treat cases of fatty acid which triggers regurgitation accompanied by sour belching. In some cases, the patient may also experience pain in the liver and excessive flatulence. Vomiting may also occur along with weakness while passing stool.

    4. Calcarea carb: Obese patients suffering from this condition can be treated with calcarea carb. These people often have a distended abdomen, are lactose intolerant and suffer from chronic constipation. They are also overly sensitive to cold air and sweat excessively from the head.

    5. Nux Vomica: homeopathic remedy for fatty liver with pain in abdomen after eating.

    Nux vomica is great for any abdominal problem including fatty liver caused by excessive consumption of alcohol. These patients often suffer from abdominal pain a few hours after eating with sour or bitter tasting belches. They may constantly feel the urge to pass stool but are unable to do so.

    Though homeopathic remedies have negligible side effects when taken in low dosages, they should never be self-prescribed. If you suffer from a fatty liver, consult a homeopathic doctor immediately who can diagnose it properly and treat you accordingly.

    4911 Thanks

    Pregnancy is a time when your body undergoes a plethora of changes, both emotionally and physically. In such a situation, an acute liver failure only triggers further complications, threatening to affect both the mother and the fetus. The ambit of liver diseases range from mild complications to those that can be life threatening. Acute liver failure or ALF, as it is commonly known as in medical parlance is a condition which is caused when then there is a sudden impairment of the ability of the blood to clot. In spite of the erratic nature of the ailment and its ability to affect anybody with a complete disregard of the individual's pre-existing history of liver problems, there are certain causes that are said to propel it. Some of them are:

    • Eclampsia with liver infraction: This is an extremely rare condition. Generally, eclampsia refers to the occurrence of convulsions in pregnant women, mostly in those who suffer from high blood pressure. Those women who suffer from eclampsia along with liver infraction are more susceptible to have a liver failure.
    • Hepatic rupture: Much like eclampsia, hepatic rupture is also caused in women who have high blood pressure. This heightens the risk of an impending liver failure in pregnant women.
    • Fatty liver: Sometimes excess of fat develops in the liver deterring its functioning. This is not only detrimental to your health but also poses a great danger in triggering a liver failure.

    In spite of these, there have been multiple treatments which have developed to manage and curb it. Some of them are:

    • Remedial measure for coagulation: The inability of blood to clot blood is known as coagulation which is extremely fatal and one of the primary causes that leads to liver failure. Therefore timely and potent intervention of medicine is important to prevent that and in turn diminish the possibility of liver failure.
    • Volume replacement: Volume replacement refers to the condition where fluids are resuscitated or replenished into the body, those that were lost but at the same time are mandatory for the proper functioning of the body.
    3806 Thanks
  • Post Graduate Diploma In Nutrition And Dietetics, B.Sc. - Dietitics / Nutrition

    Sugar is the trigger to most of the diseases an adult faces in present times. Sugar is not only harmful for adults, but can pose severe threats to the health of a child as well, if not administered in monitored proportions. But again, sugar is indispensable when it comes to sweetening your drinks and desserts. In order to prevent yourself from the health hazards of sugar, you should know more about its scope and effects.

    1. Sugar can lead to a fatty liver: Fatty liver is a troubling issue faced by many across the globe. It is wrong to think only alcoholics are subjected to this health condition. People who exercise little and consume huge amounts of fructose are also exposed to the threat of this disease. When a person doesn't do enough to burn up the existing amount of glycogen in his or her liver and take in fructose repeatedly, the liver turns that fructose into fat, impairing one's liver capabilities to a great extent.
    2. Sugar may make you resistant to Leptin: Leptin is a hormone released by your fat cells. The hormone is particularly necessary as it sends signals to your brain telling it you are full and won't be requiring any more food. Fat people have more number of fat cells and thus additional Leptin too. The Leptin becomes inactive due to the effects of heightened blood triglycerides and insulin, both of which counter its functioning.
    3. It is addictive and there lies the key to temptation: Sugar is enormously addictive. If you like sweetened products, you will find it hard to resist your cravings for cakes, cookies or chocolates. Sugar accelerates dopamine secretion; this hormone makes a person feel good. Dopamine is the hormone released on the consumption of drugs such as cocaine.
    4. Calories in sugar are not balanced out with any mineral or vitamin: Because of its lack of nutrient value, sugar is said to have empty calories. Food items rich in sugar tend to make a person lethargic and slackened while depriving them of essential minerals and vitamins. It is therefore, best to not allow children to have pastries, chocolates or puddings in excess.
    5. Sugar leads to extensive tooth decay: Sugar can accumulate on your teeth if you are having too many sweetened food items. This causes your teeth enamel to wear away, making it more prone to cavities and dental caries.
    5452 Thanks
  • Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc

    What is fatty liver?

    Fatty liver, or steatosis, is a term that describes the build-up of excess fat in the liver. While it's normal to have some fat in your liver for its regular functioning when fat makes up at least 5% of the liver its termed as fatty liver. Fatty liver can be a completely benign (Not harmful) condition and usually does not lead to liver damage. However, once there is a build-up of simple fat, the liver becomes vulnerable to further injury, which may result in inflammation and scarring of the liver.

    Causes of fatty liver include:
    Alcoholism- Most common cause
    hyperlipidemia, or high levels of fats in the blood
    Genetic inheritance
    Rapid weight loss
    Side effect of certain medications, including aspirin, steroids, tamoxifen, and tetracycline.

    There isn't a medication or surgery to treat fatty liver. Lifestyle modifications like-
    Limiting or avoiding alcoholic beverages
    Managing your cholesterol
    Losing weight
    Controlling your blood sugar
    Avoiding high amount of fatty and sugary foods
    Dietary modification-Increasing fiber like fruits and vegetables, Whole grain cereals, sprouts
    Exercising- 45-60 minutes at least 4-5 days/week

    2 Thanks
  • Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition

    Foods for Liver

  • MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
    Unani Specialist
    Cupping therapy in liver disorders
    When cupping therapy removes the spoiled and senile corpuscles and the impurities from the blood, and it increases blood flow in all tissues and organs, consequently in the liver tissue. So, the liver cells will be activated and then the whole liver will be activated to perform its other functions in a complete performing. It will transform the cholesterol and the excessive triglycerides by its metabolic function, and stores the excessive sugar in blood with help from the pancreas in reducing glucose level to normal one in the diabetics. And the liver will be more active in rescuing the body from poisons, this activate all its systems including the brain and nervous system so the general health of body is better. It also heightens the regeneration of spoiled tissues in the body because the liver is responsible for the production of the necessary protein for continuation of life and growth, it is clear that cupping therapy is a cure or main improving of all hepatic problems including all types of hepatitis, and prevents from or curing the hypertension of the portal vein and all resulting dangerous problems.
    10 Thanks
  • D M Gastroenterology And Hepatology
    Fatty liver is the 3 rd most common cause of liver failue in india
    Consult a gastoenterologist as soon if you have fatty liver.
    1 Thanks
  • BHMS
    Fatty liver & homoeopathy-

    The treatment of fatty liver depends upon what is causing it, and generally, treating the underlying cause will reverse the process of steatosis if implemented at early stage.
    In most instances, treatment of fatty liver and steatohepatitis requires control of the underlying conditions.
    This may include reduction of high blood triglycerides, good control of diabetes, or not drinking alcohol.
    Moreover, people with liver disease or dysfunction need to be very careful about the allopathic medicines they choose to take as many common prescription and over-the-counter drugs can be toxic to the liver and severly worsen the condition and functioning of this important organ.
    If ignored or left untreated, many liver diseases will lead to permanent and irreversible damage to the liver and can be a significant threat to your health.
    However, homeopathy can be tried safely. The medicines are by nature gentle because it treats liver problems - or for that matter any other problem - by treating the person as a whole and each person individually. Sensitive persons require altogether different remedies and dosages than robust types.
    Homeopathic treatment treats the liver sluggishness while the patient changes his diet to clear out the excess toxic materials from his body.
    Remedies improves the functioning of the liver and promote health.
    Homeopathy prevents problems associated with a sluggish liver such as depressed immune system, constant fatigue, obesity, sluggish digestive system, allergies, respiratory ailments, unhealthy skin, irritability and so on.
    The medicines treat liver disease and prevent further damage to the liver in diseases like viral hepatitis, cirrhosis, fatty liver, hemochromatosis, alpha-1 antitrypsin deficiency and wilson's disease.
    Remedies prevent healthy liver from damage caused by medications and alcohol.
    Homeoapthy improves gall bladder functioning, reduce inflammation and help dissipate gallstones.
    There are many homeopathy medicines which give great relief in fatty liver disorder. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient.
    14 Thanks
  • Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    3 Thanks
  • FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
    Fatty liver and treatment
    Eating a healthy diet and exercising regularly may help prevent liver damage.

    Treatment & prevention

    1. Lose weight if overweight or obese
    2. Have a high protein & low carbohydrate diet
    3. Lower cholesterol and triglycerides
    4. Control diabetes
    5. Avoid alcohol
    6. Exercise regularly & increase physical activity 30 minutes of exercise atleast five days a week is recommended
    15 Thanks
    There is greater chances of fatty liver in persons drinking soft drinks having sugar.
    2 Thanks
  • Unani Specialist
    Stages of ELD (End Liver Diseases)
    1-Fatty liver then
    2- Hepatitis then
    3- Cirrhosis of liver
    commonest cause of liver diseases is alcohol .
    5 Thanks
  • C.S.C, D.C.H, M.B.B.S
    General Physician
    Fatty Liver
    It is also called nonalcoholic fatty liver disease in adults.
    It is an ongoing silent epidemic in India.
    Nonalcoholic fatty liver disease (NAFLD) refers to the presence of hepatic steatosis when there are no other causes for secondary hepatic fat accumulation such as heavy alcohol consumption.
    NAFLD may progress to cirrhosis and is likely an important cause of cryptogenic cirrhosis
    NAFLD is subdivided into nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH).
    In NAFLD, hepatic steatosis is present without evidence of inflammation, whereas in NASH, hepatic steatosis is associated with hepatic inflammation that histologically is indistinguishable from alcoholic steatohepatitis
    Risk factors for cirrhosis are, older age, diabetes, SGOT SGPT >2 times, BMI >28, higher visceral adiposity index, which takes into account waist circumference, BMI, triglycerides and high-density lipoprotein level, less coffee consumption, heavy alcohol intake
    As little as two drinks per day in those who are overweight (and one drink per day in those who are obese) is associated in hepatic injury.
    Liver cancer is associated with cirrhosis due to NAFLD.
    Heart disease is the most common cause of death among patients with NAFLD.
    Weight loss for patients who are overweight or obese is recommended.
    Goal for many patients is to lose 0.5 to 1 kg/week (1 to 2 lb/week).
    Vaccination for Hepatitis A and B, pneumococcal vaccination and standard immunizations (e.G, influenza, diphtheria, tetanus boosters) are recommended for the population in general.
    Risk factors for cardiovascular disease should be managed.
    Vitamin E at a dose of 400 IU/day may be suggested for those patients with advanced fibrosis on biopsy who do not have diabetes or coronary artery disease.
    Avoid all alcohol consumption.
    Heavy alcohol use is associated with disease progression among patients with NAFLD.
    Thiazolidinediones can improve histologic parameters in patients with NASH, metformin does not.
    UDCA has anti-inflammatory effects in the liver
    Atorvastatin has protective effect on SGOT, SGPT levels in patients with NAFLD.
    Pentoxifylline inhibits production of tumor necrosis factor-alpha and may be effective in NASH.
    Omega-3 fatty acids may benefit NAFLD or NASH.
    If serum ferritin >1.5 times the upper limit of normal: Progressive liver disease:
    If SGOT:SGPT > twice the upper limit of normal, then refer
    7 Thanks
  • B.H.M.S
    Effective home remedies for a healthy liver

    The liver is one busiest organs of the body. From producing bile for digestion to eliminating toxins from the body, the liver performs more than 500 different functions. Unfortunately, with modern-day lifestyle (increased junk food consumption, heavy drinking, incessant smoking, skyrocketing stress levels and self-medication), liver diseases are emerging rapidly. But there are ways you can reduce the effects of these ill habits on your liver and keep it healthy. Here are some natural remedies you can try.
    #1 Amla or Gooseberry: The Indian gooseberry or amla is known as one of the richest sources of vitamin C. What is less well-known is its ability to keep the liver functioning at optimal levels. This herb has been used extensively in Ayurveda for the treatment of sluggish liver; now researchers are finding in laboratory studies that extracts from amla have liver-protective function. However, there is no clear indication of whether it is useful to treat hepatitis B infection. Amla is one of the important components in Chyawanpraash that has immunity boosting, digestive and liver-protective action.

    Home / Diseases & Conditions / 6 effective home remedies for a healthy liver

    Natural foods for the liver
    The liver is one busiest organs of the body. From producing bile for digestion to eliminating toxins from the body, the liver performs more than 500 different functions. Unfortunately, with modern-day lifestyle (increased junk food consumption, heavy drinking, incessant smoking, skyrocketing stress levels and self-medication), liver diseases are emerging rapidly. But there are ways you can reduce the effects of these ill habits on your liver and keep it healthy. Here are some natural remedies you can try.
    #1 Amla or Gooseberry: The Indian gooseberry or amla is known as one of the richest sources of vitamin C. What is less well-known is its ability to keep the liver functioning at optimal levels. This herb has been used extensively in Ayurveda for the treatment of sluggish liver; now researchers are finding in laboratory studies that extracts from amla have liver-protective function. However, there is no clear indication of whether it is useful to treat hepatitis B infection. Amla is one of the important components in Chyawanpraash that has immunity boosting, digestive and liver-protective action.

    Tip: Although, the best way to consume it is raw, you can add small pieces of it in your salad or making a raitha with grated amla and curd.
    #2 Jethimad or Licorice: Licorice has long been used in Ayurvedic remedies to cure liver ailments like non- alcoholic fatty liver disease. In this condition, the blood level of transaminase enzymes called ALT and AST increase to harmful levels for the liver. Research suggests that licorice (Jethimad or Mulhati in Hindi) extracts reduce the concentration of these enzymes, indicating its beneficial effect on the liver. Here are
    top ten health benefits of Mulethi or Liquorice
    Tip: Powder Licorice roots at home. Add the powder to boiling water while making tea. Steep it for a few minutes and then strain the liquid.
    #3 Amrith or Guduchi: Amrith is yet another herb that Ayurveda considers to have rejuvenating properties and is commonly grown in many kitchen gardens. It is said to have the ability to clear toxins from the liver as well as strengthen its functioning. More importantly, Amrith does not cause any significant complications even when used for long-term. However, Ayurvedic physicians warn that using this herb can precipitate liver crisis if the patient has a large amount of toxins in the liver. Therefore, it is best to use this herb only under an Ayurvedic practitioner?s guidance.
    Haldi or Turmeric: Packed with valuable antioxidants, turmeric is an important herb that improves liver health. Some studies have shown that the antiviral action of turmeric is effective in preventing multiplication of the viruses causing hepatitis B and C. Here are
    7 reasons to start drinking turmeric milk or haldi doodh.

    Tip: The easiest way to use turmeric is to include it in your daily cooking. Alternatively, you can consume it by adding it to plain milk .
    #4 Flaxseeds: Certain receptor sites normally bind hormones and keep them circulating in the blood. This exerts strain on the liver to filter out these excess hormones. Studies have found that the phytoconstituents in flaxseeds have the capacity to bind such receptor sites, preventing hormonal binding. This reduces the work load on the liver. Read about
    five seeds that you need to add to your diet
    Tip: Sprinkling few crushed or whole flaxseeds on your toast, salad or cereals to reap their liver-protective benefits.
    #5 Vegetables: Certain vegetables contain ingredients that help the liver secrete greater concentrations of important enzymes. In turn, these enzymes help excretion of potential carcinogens (cancer-causing substances) from the body. Beet, cabbage, carrot, broccoli, onion and garlic are some vegetables having such an action. Broccoli, onion and garlic are believed to provide sulfur to the body. This helps detoxification reactions carried out by the liver, preventing damage.

    While these natural remedies can help your liver stay healthy, it is also important that you avoid eating foods that damage the liver.
    26 Thanks
  • Unani Specialist
    Unani system of medicine is the best one for liver disorder such as Fatty liver,Hepatitis etc
    1 Thanks
  • PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
    Cirrhosis of Liver:

    ? Cirrhosis of the liver is when the blood flow to and from the liver gets obstructed
    ? This happens when healthy tissues are replaced with scar tissues
    ? As time progresses, the size of the liver reduces

    Symptoms to look for:

    ? Indigestion
    ? Nausea
    ? Vomiting
    ? Abdominal pain
    ? Loss of weight
    ? Foul breath
    ? Jaundiced skin
    ? Fever
    ? Thin, red spidery markings on face, neck and arms
    ? Abdominal bloating


    ? Excessive alcohol consumption
    ? Poor nutrition
    ? Presence of toxins in the body

    Natural home remedy using papaya seeds and lemon juice:

    1. Crush a handful of papaya seeds
    2. Press them on a sieve and extract the juice
    3. Take 1 tbsp of this juice
    4. Add 2 tbsp of lemon juice
    5. Mix well
    6. Drink 2 times every day

    Natural home remedy using yogurt and cumin powder:

    1. Take 2 tbsp of yogurt
    2. Add 2 cups of water
    3. Add 2 tsp of cumin seed powder
    4. Add 1 tsp of salt
    5. Blend them together to make buttermilk
    6. Drink 2 times every day

    Natural home remedy using lemon and salt:

    1. Take 1 glass water
    2. Squeeze half a lemon
    3. Add 1 tsp of salt
    4. Mix well
    5. Drink 3 times a day

    Natural home remedy using carrot and spinach juice:

    1. Wash and chop a carrot
    2. Wash and chop a few spinach leaves
    3. Crush them to a fine paste
    4. Press this paste on a strainer and remove the juice
    5. Drink this juice to get relief from this condition
    6 Thanks
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Cirrhosis of liver has been a kashtsadhya to asadhya category and not reversible. However in Ayurveda the products of low cost but high processing standards are abundant in market. But all these have almost common constituents with little difference.
    In our career we have found and so have some fellows who have done special studies/ research on this, one 'Yog' viz. PUNARNAVASHTAK KVATH has been found very effective both in alcoholic and non alcoholic complications of liver. Its not commonly available but may be found if tried. If someone can, fresh herbs ( out of seven herbs in all) may be found by the help of some 'malis' or foresters or such persons and extracted juices i.E. Swarasa may be orally given to patient twice a day. Results will be most encouraging. However it is easy to say than to find and do it for long time. Alternatively all the seven herbs may be found at Pansari shop in dried state. Decoction of this may be prepared and given twice a day along with some other yogas.
    After few days the patient will start feeling better and symptoms start to ease out. Patient feels good and natural appetite and metabolism normalizes. The worsening pace of liver slows down. It definitely increases life span of patient. But cirrhosis can't be reversed.
    2 Thanks
  • General Physician (AM)
    Alternative Medicine Specialist
    In many cases, habitual overeating causes high triglycerides. Occasionally, the trigger is an underlying condition such as:
    Excessive alcohol consumption
    Adverse side effect of particular medications
    Poorly managed diabetes
    Hypothyroidism (insufficient production of thyroid hormones)
    Some types of liver disease
    Some types of kidney disease
    Some genetic disorders,(triglyceride and LDL are both elevated).
    13 Thanks
    Healthy diet and exercise are key to improve health of your liver.
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