10/16/2026
Are you part of the 1 in 3?
One in three American adults has fat in their liver, and 96% of them don’t know it. In this episode of The Gut Insiders, Chuck and I break down fatty liver disease (MASLD, formerly called NAFLD): why metabolism, not alcohol, now drives it, why being thin doesn’t protect you, and how you can check for it and reverse it.
Dr B shares the story of a thin runner who came to him for bloating, and the skin sign on her neck that told him something else was going on. You’ll learn about the liver score hiding in your routine blood work (the FIB-4), the number that means it’s time for a FibroScan, and the groups of people who should get tested.
They also dig into a brand-new study in the journal Gut where gut bacteria transferred fatty liver from one mouse to another. I explain what Akkermansia and your gut barrier have to do with protecting your liver. Then I walk you through five evidence-based ways to reduce liver fat. These include one habit that cut liver fat even without weight loss, and the daily drink that doubled liver fat in six months.
Fatty liver isn’t just a liver problem. Heart disease is the number one cause of death in people with fatty liver. Send this to someone you love, especially the one who thinks they’re too thin to worry.
One in three American adults has fat in their liver, and 96% of the...