Key Facts about Fatty Liver

- Fructose consumption leading to its conversion into fat (called "de novo lipogenesis" or making new fat) is estimated to contribute to 25% of the fat accumulation in fatty liver. This estimate may be revised over time - originally it was thought to be a very small percentage of fat (well under 10%), but the experiments were skewed because the test subjects were fasting before the fructose challenge. Since they were fasting, there were other places for the excess energy to go, rather than getting stuck in the liver and turned into fat.

-Exercise allows sugar to get into muscles without insulin (or, perhaps more importantly, in spite of cellular insulin resistance)

- The fatigue that results from fatty liver and insulin resistance can lessen the appeal of exercise for those who need it. This is where gardening, walking around the neighborhood, parking the car farther away, clearing out the garage, are necessary steps to build tolerance and get the process started. An accountability partner for walks (human or animal) or a specific goal can be really helpful.

- Metabolic syndrome is associated with depression, which can be one more reason why someone would need extra support to get out and get moving.

- For those who don't like swallowing pills, consider powdered or liquid vitamins, or just better-quality food.

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