Fatty Liver Testing
Non-alcoholic fatty liver disease (NAFLD/MASLD) is closely linked to diabetes and metabolic syndrome. We offer specialized evaluation and testing.
What is Fatty Liver Disease?
Non-alcoholic fatty liver disease (NAFLD) — now increasingly called Metabolic dysfunction-Associated Steatotic Liver Disease (MASLD) — is the most common liver condition in the United States. It occurs when excess fat builds up in the liver in people who drink little or no alcohol.
NAFLD is strongly associated with metabolic conditions including Type 2 diabetes, insulin resistance, obesity, high cholesterol, and high blood pressure. As endocrinologists, we are uniquely positioned to evaluate and manage fatty liver in the context of your overall metabolic health.
If left untreated, NAFLD can progress to non-alcoholic steatohepatitis (NASH), liver fibrosis, cirrhosis, and in some cases liver cancer. Early detection and metabolic optimization are key to preventing disease progression.
Who Should Be Tested?
You may benefit from fatty liver evaluation if you have one or more of the following:
- Type 2 diabetes or prediabetes
- Insulin resistance or metabolic syndrome
- Obesity or excess abdominal fat
- Elevated liver enzymes (ALT/AST) on bloodwork
- High triglycerides or low HDL cholesterol
- High blood pressure
- Family history of liver disease
Our Evaluation Process
Metabolic Assessment
We review your full metabolic profile — blood sugar control, insulin levels, lipid panel, liver enzymes, and body composition — to assess your overall risk.
Non-Invasive Liver Scoring
We use validated non-invasive scoring tools (such as FIB-4 and the NAFLD Fibrosis Score) to assess the likelihood and severity of liver involvement without the need for biopsy in most cases.
Imaging & Lab Referrals
When indicated, we coordinate referrals for liver ultrasound or elastography (FibroScan) to assess liver fat and stiffness. We work closely with hepatologists for complex cases.
Personalized Treatment Plan
Treatment is centered on metabolic optimization: improving blood sugar control, weight management, lipid management, and lifestyle modification. New FDA-approved medications for NASH/MASH are also available for appropriate patients.
Schedule an Evaluation
If you are concerned about fatty liver disease or have been told you have elevated liver enzymes, our team can evaluate you as part of your endocrine and metabolic care. Call us at 832-968-7003 or book online.