Expert Care for Fatty Liver Disease in Maryland
Discover comprehensive evaluation and personalized treatment plans for NAFLD (MASLD) at our specialized fatty liver clinic. Request an AppointmentYour liver health matters. At Digestive Care Specialists, our dedicated Fatty Liver Clinic offers expert evaluation, advanced diagnostics, and evidence-based treatment plans for patients with fatty liver disease (NAFLD/MASLD) and related metabolic conditions.
What Is Fatty Liver Disease?
Fatty liver disease occurs when excess fat builds up in the liver. It affects 1 in 3 adults and is often linked to conditions like:
- Obesity and metabolic syndrome
- Type 2 diabetes
- High cholesterol or triglycerides
- Insulin resistance
Over time, fatty liver can lead to inflammation (steatohepatitis), fibrosis, cirrhosis, or even liver cancer — often without symptoms in the early stages.
Who Should Be Evaluated for Fatty Liver?
You may benefit from evaluation if you have:
- Abnormal liver tests
- A history of obesity or weight gain
- Type 2 diabetes or prediabetes
- Elevated cholesterol or triglycerides
- PCOS or sleep apnea
Early detection is key. Our team uses noninvasive tools to assess liver health and risk of progression.
Comprehensive Fatty Liver Evaluation
Our clinic offers:
- Velacur ONE (Ultrasound Elastography): A noninvasive test to measure liver stiffness and fat.
- Ultrasound or MRI when indicated
- Blood work to assess liver function, inflammation, and metabolic markers
- Nutrition & lifestyle assessment by registered dietitians
- Personalized risk stratification using validated scoring systems
Liver Fibrosis Evaluation in Office
with VELACUR ONE
AI-Guided Ultrasound Elastography
Treatment Tailored to You
Our multidisciplinary approach includes:
- Weight loss strategies (including medical and endoscopic options)
- GLP-1 medications (e.g., semaglutide, tirzepatide) for patients with obesity or diabetes
- Nutritional counseling
- Management of associated conditions: cholesterol, blood pressure, insulin resistance
- Close monitoring of liver health over time
Why Choose Digestive Care Specialists for Fatty Liver Care?
✅ Board-certified gastroenterologists with expertise in liver disease
✅ In-house Velacur elastography for fast, accurate liver assessments
✅ Integrated care: GI, hepatology, weight loss, and nutrition in one clinic
✅ Focused on early detection and prevention of complications
✅ Located conveniently in Germantown and Frederick, MD
FAQs about Fatty Liver Disease
What is nonalcoholic fatty liver disease (NAFLD)?
Nonalcoholic fatty liver disease, or NAFLD, is a common form of liver disease where fat builds up in the liver in people who drink little or no alcohol. It’s one of the leading causes of chronic liver disease in adults.
In this condition, fat accumulates in the liver and can cause inflammation and liver cell damage, known as nonalcoholic steatohepatitis (NASH). If left untreated, NAFLD may progress to liver fibrosis, cirrhosis of the liver, or even liver failure.
What are the types of fatty liver disease?
There are two main types of fatty liver disease:
- Alcoholic Fatty Liver Disease (AFLD): Caused by heavy or long-term alcohol use, leading to fat buildup in your liver and possible scarring of the liver.
- Nonalcoholic Fatty Liver Disease (NAFLD): Occurs in people who drink little or no alcohol. It can progress to NASH, a severe form of fatty liver disease with inflammation and liver cell damage.
Both forms may result in cirrhosis or liver cancer if not managed early.
What are the symptoms and causes of fatty liver disease?
Most people with fatty liver disease have no symptoms at first. When symptoms appear, they may include fatigue, discomfort in the upper right abdomen, or an enlarged liver.
Causes of fatty liver disease include obesity, insulin resistance, high cholesterol, diabetes, or excessive alcohol use. These factors cause the liver to store more fat and may trigger liver inflammation, fibrosis, or liver scarring.
What is alcoholic fatty liver disease?
Alcoholic fatty liver disease is the earliest stage of alcohol-related liver disease. When you drink more alcohol than your liver can process, fat accumulates in the liver. Continued drinking may cause the liver to swell and become inflamed, leading to alcoholic hepatitis, cirrhosis, or even the need for a liver transplant.
Reducing or stopping alcohol intake can often help in the reversal of fatty liver disease at this stage.
How is the diagnosis of fatty liver disease made?
The diagnosis of fatty liver disease usually starts with liver function tests that show elevated liver enzymes, such as ALT or AST.
Imaging tests like ultrasound, Velacur, or MRI can measure the stiffness of your liver and detect excess fat in the liver. In some cases, a liver biopsy is needed to assess inflammation and liver cell damage.
At our Fatty Liver Clinic, we use advanced technology to check your liver and identify fatty liver disease in adults at its earliest stage.
Do I need a liver biopsy?
Not usually. We use advanced imaging like Velacur to assess severity without invasive procedures.
Is this covered by insurance?
Yes. Most evaluations and follow-ups are covered, especially with risk factors or abnormal labs. We’ll verify your benefits before scheduling tests
What is nonalcoholic steatohepatitis (NASH)?
Nonalcoholic steatohepatitis (NASH) is a severe form of non-alcoholic fatty liver disease where fat in your liver causes inflammation and liver cell injury. Over time, NASH causes the liver to develop fibrosis, which can progress to cirrhosis or liver cancer.
NASH can decrease liver function and may eventually lead to liver failure or the need for liver transplantation. Managing NASH early with lifestyle changes and close follow-up at a liver clinic can help prevent irreversible liver damage
What is metabolic dysfunction-associated steatotic liver disease (MASLD)?
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the new medical term for nonalcoholic fatty liver disease. It reflects the connection between fat in the liver and metabolic conditions such as obesity, high blood sugar, and insulin resistance.
MASLD includes a spectrum of liver conditions, from simple fatty liver (steatosis) to metabolic dysfunction-associated steatohepatitis (MASH), which involves inflammation and liver fibrosis.
What is metabolic dysfunction-associated steatohepatitis (MASH)?
Metabolic dysfunction-associated steatohepatitis (MASH) is the updated term for nonalcoholic steatohepatitis (NASH). It’s a severe form of fatty liver disease that combines fat buildup in your liver with inflammation and liver cell damage.
If untreated, MASH can progress to scarring of the liver, cirrhosis, and possibly the need for a liver transplant. Early detection through liver function tests and Velacur can help guide treatment and protect liver health.
Can nonalcoholic fatty liver disease be reversed?
Yes, the reversal of fatty liver disease is often possible in its early stages.
For patients with nonalcoholic fatty liver, improving diet, losing weight, exercising regularly, and controlling blood sugar can reduce fat in the liver and liver inflammation.
Our Fatty Liver Clinic provides personalized programs for the management of nonalcoholic fatty liver, focusing on lifestyle changes and monitoring liver enzymes to support long-term liver health.
What treatments help prevent liver scarring or liver failure in fatty liver disease?
There are no specific drugs approved yet for NAFLD or NASH, but early intervention can prevent chronic liver disease progression.
Our approach includes:
- Nutrition and exercise programs tailored for people with fatty liver disease
- Monitoring liver enzyme levels and liver stiffness
- Managing risk factors like diabetes and cholesterol
These steps can reduce liver inflammation, slow fibrosis, and help avoid cirrhosis or liver transplant.
How can I improve my liver health if I have fatty liver disease?
You can protect and even improve your liver health by:
- Following a fatty liver disease diet (rich in whole foods, lean protein, and minimal sugars)
- Avoiding alcohol and processed foods
- Exercising regularly
- Following up with your liver specialist for liver function tests
These steps help your liver try to stop inflammation, reduce fat in your liver, and prevent damage caused by fatty liver disease.
Is the reversal of fatty liver disease possible?
Yes, the reversal of fatty liver disease is often possible, especially in its early stages. When excess fat builds up in the liver but has not yet caused significant inflammation or scarring, lifestyle changes such as weight loss, regular exercise, and a balanced diet can help the liver heal itself. For most patients with nonalcoholic fatty liver disease, improving metabolic health and avoiding alcohol can reduce liver fat, lower liver enzymes, and restore normal liver function. Early diagnosis and consistent follow-up at a liver clinic greatly increase the chances of reversing fatty liver disease and preventing chronic liver damage.