Fatty liver in fit people: Can you be thin and still have NAFLD? (key symptoms inside)

Despite appearances, lean individuals can develop non-alcoholic fatty liver disease (NAFLD), now known as metabolic dysfunction–associated steatotic liver disease (MASLD). This 'thin outside, fat inside' condition is often overlooked, with visceral fat, insulin resistance, and genetics playing key roles. Symptoms are subtle, including fatigue and abdominal discomfort.

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