One in three adults now has fatty liver disease, and most don’t even know it. It’s become the most common form of liver dysfunction worldwide—even outpacing alcohol-related liver damage. And the real danger? It often progresses in silence, from fat to inflammation to fibrosis, with no symptoms until it's too late.

In this episode of ReInvent Healthcare, Dr. Ritamarie exposes a quiet transformation that's becoming alarmingly common: the metabolic cascade behind fatty liver. It doesn’t start with pain or obvious signs. It starts with subtle shifts in biochemistry that most protocols completely miss.

Before the liver scars, there are clues. And if you know where to look, you can help reverse the damage long before it becomes permanent.

What’s Inside This Episode?

• Why liver damage is now driven more by food than by alcohol
• The signals that mark the shift from fat accumulation to fibrosis
• What “normal” AST and ALT might be hiding, and how to interpret them
• A critical lab ratio that reveals what single values can’t
• Early metabolic signs that point to liver inflammation before imaging shows a thing
• Therapeutic strategies to restore liver function, starting with the kitchen
• How trauma and oxytocin tie into liver recovery
• The botanical allies that protect and regenerate hepatic tissue

Resources and Links:

• Download our FREE Metabolic Health Guide here.
• Check out the FREE From Fat to Fibrosis Practitioner Quick Guide
• Here is a FIB-4 Calculator Tool
• FIB-4 = (Age × AST) / (Platelets × √ALT)
• NAFLD fibrosis score (NFS) = -1.675 + (0.037 × age) + (0.094 × BMI) + (1.13 × hyperglycemia) + (0.99 × AST/ALT ratio) - (0.013 × platelet count) - (0.66 × albumin)
• Join the Next-Level Health Practitioner Facebook group here for free resources and community support
• Visit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results.
• Check out other podcast episodes here