🧠 Fatty Liver: What You Need to Know – Internist family PCP doctor Georgetown TX
- Dr. Mohammad Al Darawsha MD

- Jul 23, 2025
- 4 min read
Your liver works hard every day to keep you healthy — but sometimes fat can silently build up inside it, leading to a condition called fatty liver. Many people don’t even know they have it until it shows up on blood work or an ultrasound.
At Wellness Bay Primary Care, our goal is to catch these silent signs early and guide you with kindness and clarity. If you’re searching for a trusted Internist family PCP doctor Georgetown TX, we’re here to help.
🍔 What Is Fatty Liver?
Fatty liver happens when extra fat accumulates in your liver cells. There are two main types:
NAFLD (Non-Alcoholic Fatty Liver Disease): Fat buildup not caused by alcohol
AFLD (Alcohol-Related Fatty Liver Disease): Caused by heavy alcohol intake
If left untreated, fatty liver can progress to inflammation, scarring, and in rare cases, cirrhosis.
❓ What Causes Fatty Liver?
There’s no single cause, but risk factors include:
Being overweight or obese
Diabetes or insulin resistance
High cholesterol or triglycerides
Poor diet (especially sugary or processed foods)
Sedentary lifestyle
Certain medications (e.g., steroids, tamoxifen)
Excess alcohol (in AFLD)
🔬 Pathophysiology (What’s Happening Inside?)
Fat accumulates in liver cells, making it harder for your liver to do its job. Over time, this can lead to:
Oxidative stress (liver cell damage)
Inflammation (called NASH – non-alcoholic steatohepatitis)
Fibrosis (scarring)
Eventually, cirrhosis in severe cases
That’s why early lifestyle changes matter so much.
🔎 How Is It Diagnosed? by Internist family PCP doctor Georgetown TX
You may not feel symptoms early on — that’s why we screen for it during your checkups at our Georgetown TX family medical clinic.
Common investigations:
Liver function tests (AST, ALT)
Ultrasound or FibroScan
MRI or CT scan (in select cases)
Liver biopsy (if needed for advanced staging)
Blood tests for associated conditions (cholesterol, blood sugar, etc.)
💊 Treatment Options: What Can Be Done?
There’s no magic pill, but great results can be achieved through:
✅ Medical Treatments
Treating underlying causes: diabetes, high cholesterol, obesity
Vitamin E (in select cases)
Weight loss medications (in appropriate patients)
Regular monitoring by your internist in Georgetown TX
🌿 Natural & Home-Based Approaches
Exercise: Aim for 30 mins/day of walking, biking, or swimming
Healthy eating: Mediterranean-style diet, high in fruits, veggies, lean protein
Avoiding sugar-sweetened drinks
Weight loss: 5–10% reduction in body weight can reverse fatty liver
Avoid alcohol
Liver-supportive supplements (ask us first): Milk thistle, omega-3s, or berberine (if appropriate)
💬 When to See a Doctor
Please reach out if:
Your liver enzymes are elevated
You’re overweight or diabetic
You have fatigue, abdominal discomfort, or yellowing skin (jaundice)
You’re on long-term medications
You want to prevent long-term liver issues proactively
We're here to support you with personalized care, not blame.
❓ Top 10 FAQs – Fatty Liver
💭 Is fatty liver reversible?
Yes! With proper diet and lifestyle changes, it can often be reversed — especially in early stages.
💭 Do I need a liver biopsy?
Most people don’t. But in unclear or severe cases, it helps assess inflammation and fibrosis.
💭 Can I still eat meat?
Yes, lean meats like fish, chicken, and turkey are excellent. Red meats should be limited.
💭 Are fatty liver and high cholesterol related?
Yes — both are tied to metabolic syndrome and insulin resistance.
💭 Does fatty liver hurt?
Most people feel no pain. Some feel vague fullness or discomfort on the right side.
💭 What supplements help fatty liver?
Milk thistle, omega-3s, and sometimes berberine. But they should be guided by your doctor.
💭 Is fatty liver the same as hepatitis?
No. Fatty liver is a buildup of fat. Hepatitis is inflammation, which can result from many causes.
💭 Can kids get fatty liver?
Unfortunately yes, especially with obesity or poor diet.
💭 What’s the biggest risk of untreated fatty liver?
Progression to cirrhosis or liver failure in rare but serious cases.
💭 Can you treat this at a family doctor’s office?
Yes! At our primary care clinic in Georgetown TX, we help you manage and reverse fatty liver naturally when possible.
🩺 You Deserve a Doctor Who Listens
At Wellness Bay, we take your health seriously — but always with warmth, patience, and no scare tactics. If you're looking for an Internist family PCP doctor Georgetown TX, come see how different primary care can feel.
💬 Let’s Keep You Healthy, Together
The Medicare Wellness Visit is your chance to pause, plan, and protect your future health. At Wellness Bay Primary Care, we make this visit meaningful, respectful, and centered on you.
📍 Visit us at 4887 Williams Dr Ste 107, Georgetown TX
📞 Call 512.588.7008 or📲 Book online
Proudly, our Internal Medicine Primary Care Practice is Accepting new patients From:
Georgetown, Sun City, Round Rock, Cedar Park, Leander, Liberty Hill, Florence, Jarrell, Taylor, Hutto, Pflugerville, North Austin, Brushy Creek, Temple, Harker Heights, Bartram, Lampasas, Killeen, Lago Vista, and surrounding areas across Williamson County and North Austin TX
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