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#319 ‒ Peter's key takeaways on liver health, heart rate variability, AI in medicine, klotho, and lactate metabolism | Quarterly Podcast Summary #2

The Peter Attia Drive

NOTE

Metabolic Dysfunction Abounds in Liver Health

Mazzle D, or metabolic dysfunction associated steatotic liver disease, is emerging as a critical term reflecting the serious implications of liver disease within metabolic syndrome, particularly in relation to non-alcoholic fatty liver disease (NAFLD). NAFLD has been recognized as the fastest-growing liver disease in the developed world and may soon become the leading reason for liver transplants. The redefinition to include Mazzle D underscores the strong correlation with insulin resistance and metabolic syndrome, showcasing that nearly all NAFLD cases also qualify as Mazzle D. Diagnosis hinges on demonstrating metabolic dysfunction without necessarily requiring fibrosis, specifically identifying that at least 5% of liver cells, or hepatocytes, contain fat. This shift in terminology enhances understanding of liver diseases and emphasizes the importance of metabolic health in prevention and treatment strategies.

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