Fatty liver disease and insulin resistance often go hand in hand. It is almost like a vicious cycle. What actually happens is when the fat builds up in the liver, it interferes with the body' ability to use insulin effectively. This then triggers insulin resistance, which could fuel fat accumulation, inflammation, and then lead to liver damage. This for a long time could lead to nonalcoholic steatohepatitis (NASH), which is a severe form of fatty liver disease marked by liver inflammation and scarring. Many experts, including diabetologist Dr Brijmohan Arora has pointed that there could be certain visible changes in your body that could help you detect the early signs of NASH, without having to take a blood test. What Are The Signs You Should Not Ignore?As per the doctor, who has over 24 years of experience and practices in Dwarka. He posted a video on Instagram titled ;How to detect a fatty liver without blood tests'. The signs he says include:Excessive visceral fat — a hard, protruding belly or “belly paunch.”Skin tags: small, soft growths on the neck or armpits.Red or purple lines on the legs, especially near the ankles.A puffy or rounded face with less visible cheekbones.High blood pressure (readings above 140 mmHg).These signs, he explained, can act as “clinical clues” for doctors, especially when patients refuse blood tests.If You Have A Belly Paunch, It Is A Dangerous SignDr Arora shared story of one of his patients who refused to undergo blood tests and wanted to know whether his liver was healthy. "He had fatty live once and managed to reverse it." However, the patient had returned to the doctor, but refused any testing, this is when the doctor conducted a full physical examination to assess him. "If your stomach is very protruding and feels hard, it means fat has accumulated around and inside your organs. That is visceral fat. This is a strong indicator of fatty liver." He further added, "If you notice small warts or moles on your neck or armpits, these skin tags are often the number one sign of insulin resistance."Are There Other Warning Signs Of Insulin Resistance?Dr Arora also pointed out several other important indicators, including red or purple lines on the feet. He said, "If you see small red or purple lines on your feet, especially near your ankles, it may be a sign of insulin resistance. A puffy face, where your cheekbones are no longer visible, is another common clue." He also noted that high blood pressure could be one of the most serious warning signs. "If your blood pressure is consistently above 140 or 145, that is quite dangerous. It is one of the most important clinical features of insulin resistance." View this post on Instagram A post shared by Dr Brijmohan Arora | Diabetologist Dwarka (@drbrijmohanarora)]]> Why Is Early Detection Important?Fatty liver disease and insulin resistance are not just metabolic issues, they can set the stage for type 2 diabetes, cardiovascular disease, and severe liver conditions like NASH. Detecting these early signs can help you take timely steps through diet, exercise, and medical consultation.Experts recommend maintaining a healthy weight, managing blood sugar, and limiting processed foods and alcohol to protect your liver. Note: This piece is based on an Instagram post by Dr Arora. Health And Me does not, in any way, promote diagnosis without proper medical testing.
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