hi this is the cognate diet lifestyle show was very thin today we are going to talk about your liver and to talk about your liver and fat delivered by the way what is this i have invited d jonathan worked bore certified in pinion tricks an internal diseases but let me ask you first i want to know about you jonathan where did you train what is your life  i'm sure you are going to date you really help the audience better understand what is gone going on recently for but first why is our liver so important and by doing isn't that the largest oregon of our body well technically not your skin is actually your largest organ if we're going to pick here but yes very neat that the liver is central to a lot of processes to a lot of metabolic regulation and it help filters a lot of fats it's responsible for kind of directing wastes into certain directions into your own research awaiting bio and things like that so yes a very very important central kind of powerhouse organ to our or function ok and tell us what is it's just that i know you're very big it's a diet of course being from france i'm sure you know fog wa yeah you know it's just that you see ducks it's an accumulation of too much fat in your liver you start to see these these droplets almost like you know when you have your where it's like the new thing because it's called a sign in the zs sometime it's called too late i think ninety million americans are you know living was affected liver that's a huge number absolutely not alcoholic fatty deliver the liver disease is the most common cause of chronic liver disease in americans it can affect anywhere from eighty to one hundred depending on the statistics you're reading so right in line with with ninety million you say you know again as assuming it's not caused by or associated with excessive pro along and alcohol consumption yes there are a variety of drivers and causal you theologies that medicine we're still trying to figure out in trying to occur because of excessive consumption of alcohol but before we continue there's a lot of you know a special word is an acronym is used ok we're using this again you just think of a spectrum ok you know we all have some degree of fat in our liver at any given time yeah but in normal healthy livers it can go away the liver can regenerate itself move that fat outside metabolize excrete it except for when it starts to build up a little bit again assuming it is not associated with the alcohol consumption and you have what's called non alcoholic fatty liver disease and again just think of a spectrum as keeps progressing if your body can't keep up with that insult you can't fight off the the toxic fat in the liver you start to get an inflammatory process but liver responds by trying to almost wall off that that talks in that that fat and creates this kind of fibrous lehrer kind of like gristle or like a dry sponge kind of a feeling and then that becomes nash if nash is not reversed or treated her or kept a bay it can also be progressed to things like cirrhosis and stage liver disease liver failure or in some cases liver cancer so you go from me like  sponge absolutely at that that's a great analogy you know healthy tissue is you know flexible voice kind of spongy but you know a cirrhotic liver a on a healthy liver becomes more fibers dried and ultimately dies and becomes you know useless and what does nash mean again non alcoholic stay out on hepatitis too complicated that's right let's let's i think to a nash how do you know you have  thought to liver because that's the challenge right it's a sign and disease absolutely you know when we say silent it often does not present with any appreciable signs or symptoms sometimes patients may complain of of weight loss channel for tea to kind of this general abdominal pain a feeling of blow d in or film this you might not be as hungry might get for earlier but i do want to point out that those ultimately only your health care provider can give you an official diagnosis and they may run a variety of tests they might run some ultrasounds to rule in or rule out the diagnosis some other sca potentially causative but yet correlatives right now factors that are involved with the disease development progression whether it is insulin dysregulation kind of on that prefer benteke diabetic spectrum meaning basically your body can't respond to the excess glucose the excess carbohydrates in the sugars that you can't process it and so it turns out the fat and so if i may say so if you are pre diabetic or starting to be insulin resistant it's really crucial to watch what's going on with your liver as well absolutely absolutely and the other misnomer too is a lot of people think eating fa makes fat yes that's true but also excess carbohydrates extra sugar and glucose is converted to fat and i don't mean your in your belly but also in your organs like your and that's always a challenge i have when i have my clients  in in our head it's very difficult to understand that sugar becomes fat if we think that only fat becomes fat so why so i know that we see an increase in fact a liver but even more importantly we see an increase in or children and this very worrisome so what is going on there you know it's unfortunate that we're seeing increased rates of overweight and obesity in any age group whether it is children adolescents adults or even senior citizens and largely that that's a result of many things are are processed and i were having a lot of you know preservatives kind of high dense you society you know kids don't have gym class as much as they used to they're not running around they are glued in front of their computers unfortunately a lot of stuff fortunately i mean so does as well this is a liquid form of literature about diet sodas you know people say oh well there's no sugar in this there's no calories so i can trick as much as i want and we're starting to learn that might not be the case we're starting to see the your body might sense that as a starvation mechanism and then the next time you have a meal actually rebalancing by storing even more sugars or fats and converting those into fats and we're also seeing diet sodas kind of altering the normal flora in your digestive track and again altering your ability to to process carbohydrates so correctly so all the guys your best bet is probably you know water on sweet and fresh teas you know few fruit infused water and you know even coffee with a lot of sugar and dairy yeah so what happens if you have affected what happens you know what happens in your body what is  health it's it's impairing your body's ability to function in a lot of ways that made up manifest overtly but definitely inside it's almost like a slow poisoning process if you don't reverse it and catch it early you know the liver ever and yes you know you know it is very resilient but to a point you know as anything when the straw can break the camel's back you can tip the scale and then you know when the healthy liver is inundated in an able to news right now it's not fun to hear about this but give us some hope how can you reverse fatty liver absolutely you know if caught early you know with proper things for a lot of you know good things and if you watch your diet you eat a lot of fresh fruits a lot of high fiber on process things you know you keep up with your regular you know checkups in your visits you know watch your fasting sugar make sure we don't develop pre diabetes or diabetes we watch our our cholesterol as we watch our triglycerides we do monitor those liver function tests like we talked about obviously we stay active we exercise and you know stay hydrated and get enough for me that i did my research and i panic and so force and of course that was part of my entire transform nation but it's gone my fatha liver is gone great so and you know i was not twenty five anymore i was maybe forty five so there is hope absolutely but i completely changed my diet which had started to be a little bit too much bro processed foods and and fresh foods and too much diet soda and so force and too much sugar to go back to my roots european roots which you know is eating a lot of fresh foods a lot of vegetables so well the solution so we  everybody's from ill year with with the pyramid and we know it's recommended but you know how often do most of us pay attention to those things and really should you know the guidelines are there for a reason they make sense a lot of you know leafy greens kinds of fish that are higher on the food chain so to speak because of potential mercury issues but again you know i mean chaikin please don't have the fried chicken skin you know white and dark meat is ok and you know some red meat in potential future solutions and forres medications are you know right now i want to make sure all our viewers appreciate that there is no f d a approved treatment there is no magic pill or drug for any you know fatty liver condition there's a lot metabolism of fat in the liver so all promising stuff to right now unfortunately nothing truly approved for the disease what is always you know from a holistic perspective is always important to to deal with the issue first was can help yeah absolutely we're seeing those any oxidants work for conditions beat because of their ability to halt or sometimes reverse microscopic inflammatory processes of very important information and you look really great thank you and what is your secret you know unfortunately bernie in life as you know there is no magic pill you know it takes a lot of you know regular devotion and consistency and like we said you know i try to watch my diet with all the good things the fruits the grains and occasionally i will splurge on an ice cream because i think you know total deprivation is a lot of the answer a luxury or i do have you know moderate alcohol consumption you know a glass of wine here and there are very nice lots of varied exercise of course you know running and cardio but i try to diversify with strength training pl metrics flexibility like yoga try to do it six times a week total some sort of activity and also very neat i think sleep i think in our dates in society i feel that sleep is very underappreciated i think you know it really helps me to have a consistent bedtime a consistent wake up time regardless of work day holiday or weekend to try to keep in the same routine on interrupted sleep is key to you know if you say you're in bed ten hours but you're waking up every two hours or it takes you forty five minutes last leap and that's not truly long interrupted sleep and also as hard as it is in today's day and age you know put away the smartphone put away the i pad yes yes and no what we're looking at you know obviously there is the nature nurture theory there's always a genetic predisposition to inherent things you know from your parents or even your grandparents and that superimposed on you know the state your body is in when that gene might be turned on and off for instance if your parents had fatty liver cirrhosis irrespective of alcohol consumption and you know you are not watching your weight for a long time you're not watching your diet you're obese then you have there might be a chance you know you versus someone who is watching themselves and those parameters could develop gnash absolutely but again we're still trying to  please see your doctor on her health care provider on a regular basis you know to run those lab values once a year just to see you know because any blip may or may not be indicative of something worth investigating and then again you know it's always better to catch things early there was a pleasure to have you here i think you've explained something very complicated in a very very i think enjoyable if i may say so and clear manner  so this is the cognitive diet show you know state you and there will be more experts and more topics will cover in the future but at the end of the day remember to cognitive diet lifestyle sure wants you to be happy to be