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Nonalcoholic Steatohepatitis (Nash)

Our NASH program provides expert care to reduce liver inflammation, manage metabolic risks, and restore vitality through personalized, evidence-based treatment strategies.

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Bharat Pothuri
Symptoms

What is Nonalcoholic Steatohepatitis (NASH)?

Nonalcoholic steatohepatitis (NASH) is a progressive form of fatty liver disease not related to alcohol consumption. In NASH, excess fat in liver cells leads to inflammation and liver cell injury. Over time, this can result in fibrosis (scarring), cirrhosis, and even liver failure if not managed.

Common Symptoms

Early stages of NASH often have no noticeable signs. As the condition advances, you may experience:

  • Pain or discomfort in the upper right abdomen
  • Persistent fatigue or weakness
  • Unintentional weight loss
  • An enlarged liver detected during a medical exam

Causes

NASH is linked to several metabolic and lifestyle factors, including:

  • Obesity and insulin resistance
  • Type 2 diabetes
  • High cholesterol or elevated triglycerides
  • Diets rich in sugars, unhealthy fats, and processed foods
  • Physical inactivity
Treatment

Treatment Options for NASH in Katy, TX

Treatment includes lifestyle changes and medical care:

  • Weight loss: Losing 5-10% of body weight through diet and exercise can significantly reduce liver fat and inflammation.
  • Diet plan: Eating nutrient-dense foods-leafy greens, lean proteins, whole grains and healthy fats-helps protect and heal your liver.
  • 7-day meal plan: A structured weekly menu makes it easier to adopt and stick with healthy eating habits.
  • Physical activity: Aim for at least 150 minutes of moderate exercise each week to improve insulin sensitivity and support liver health.
  • Supplements: Vitamin E and omega-3 fatty acids may be recommended under medical supervision to boost liver function.
  • Blood tests and imaging: Regular monitoring of liver enzymes (ALT, AST) plus ultrasound or FibroScan tracks your progress.
  • Medications and clinical trials: For patients with advanced inflammation or fibrosis, FDA-approved drugs or enrollment in cutting-edge clinical studies may be an option.
  • Liver biopsy: When indicated, a biopsy evaluates the extent of scarring (fibrosis) to guide personalized treatment decisions.

Take the Next Step

Concerned about your liver health? Call GastroDoxs in Katy at (XXX) XXX-XXXX or book an appointment online. Our team is here to provide the support and care you deserve.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is NASH?

Nonalcoholic steatohepatitis (NASH) is a form of fatty liver disease where excess fat and inflammation damage liver cells, and it occurs in people who drink little to no alcohol.

How is NASH diagnosed?

Diagnosis typically involves blood tests to check liver enzymes, imaging studies such as ultrasound or MRI to assess fat buildup, and sometimes a liver biopsy to evaluate inflammation and fibrosis.

Are there medicines for NASH?

While no drugs are yet FDA-approved specifically for NASH, several investigational therapies are available through clinical trials, and some off-label medications may be recommended to manage related conditions.

Can lifestyle changes help?

Yes. A balanced, calorie-controlled diet, regular physical activity, and sustained weight loss can reduce liver fat, improve inflammation, and slow disease progression.

Do children get NASH?

Children-especially those with obesity, type 2 diabetes, or fatty liver on imaging-can develop NASH. Early detection and lifestyle intervention are key to preventing long-term complications.

How can I find a specialist near Katy?

Call GastroDoxs in Katy or visit our website to schedule an appointment. Our gastroenterologists and liver specialists have extensive experience in diagnosing and treating NASH.

Is NASH genetic?

Genetics can influence susceptibility-family history of fatty liver disease raises risk-but diet, activity level, and metabolic health also play crucial roles.

Does diabetes increase NASH risk?

Yes. Insulin resistance and type 2 diabetes are major risk factors for NASH, as they promote fat accumulation and inflammation in the liver.

What happens if NASH isn't treated?

Untreated NASH can progress to liver fibrosis, cirrhosis, liver failure, and increase the risk of hepatocellular carcinoma (liver cancer).

Can diet alone reverse NASH?

In early stages, significant weight loss through diet and exercise may reverse fat deposition and inflammation, but more advanced fibrosis often requires additional medical or procedural interventions.

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