NAFLD & MASH Treatment in Daly City | Fatty Liver Disease Specialists
Fatty liver disease, also called hepatic steatosis, happens when too much fat builds up in your liver. It’s more common than you think—affecting millions of Americans.
The good news? With the right care, fatty liver can often be reversed.
At Center of Diabetes and Cardiometabolic Health, our gastroenterology team helps patients understand their diagnosis and create personalized treatment plans that work.
Why Choose Our Fatty Liver Specialists?
Expert care from experienced NAFLD specialists dedicated to your liver health
Board-Certified Gastroenterologists
Our NAFLD specialists have advanced training in liver health & metabolic conditions.
Comprehensive Liver Testing
We use FibroScan and advanced imaging to assess your liver health accurately.
Personalized Treatment Plans
From diet changes to medical management, we tailor care to your needs.
Understanding Fatty Liver Disease
Hepatic steatosis means fat accumulation in liver cells. When this happens without significant alcohol use, it’s called NAFLD (Non-Alcoholic Fatty Liver Disease).
In some patients, inflammation develops. This is called NASH (Non-Alcoholic Steatohepatitis). The newest term, MASH (Metabolic dysfunction-Associated Steatohepatitis), reflects our updated understanding of the disease.
MAFLD (Metabolic dysfunction-Associated Fatty Liver Disease) is another term now used to describe fatty liver linked to metabolic conditions like diabetes and obesity.
NAFLD
Non-Alcoholic Fatty Liver
NASH
Non-Alcoholic Steatohepatitis
MASH
Metabolic Steatohepatitis
MAFLD
Metabolic Fatty Liver
Common Fatty Liver Symptoms We Treat
Recognizing the signs early can make a significant difference in treatment outcomes
Fatigue
Persistent tiredness that doesn't improve with rest
Abdominal Discomfort
Dull pain or fullness in the upper right abdomen
Unexplained Weight Changes
Weight gain, especially around the midsection
Dark Skin Patches
Darkening on the neck or underarms (acanthosis nigricans)
- Many people with fatty liver have no symptoms at all. Regular screening is important.
Recognizing the Stages of Fatty Liver Disease
Early Stage
Simple Fatty Liver
- Fat buildup with no inflammation
- Usually no symptoms
- Reversible with lifestyle changes
- No liver damage yet
Advanced Stage
MASH/NASH
- Inflammation and liver cell damage
- May cause fatigue or pain
- Risk of fibrosis (scarring)
- Requires medical treatment
How Fatty Liver Progresses
Healthy Liver
Normal liver function with minimal fat
Simple Steatosis
Fat accumulation begins (5-10% of liver weight)
NASH/MASH
Inflammation develops, liver cells become damaged
Fibrosis
Scar tissue forms, liver function may decline
Cirrhosis
Severe scarring, liver failure risk increases
- Early intervention can stop or reverse this progression.
Symptoms That Shouldn't Be Ignored
- Unexplained weight gain, especially in women
- Swelling in the abdomen or legs
- Yellowing of skin or eyes
- Persistent upper back or shoulder pain
- Easy bruising or bleeding
- Confusion or difficulty concentrating
If you're experiencing these symptoms, see a liver specialist promptly.
Our Diagnosis & Staging Process
A thorough, step-by-step approach to understanding your liver health
Medical History & Physical Exam
We assess risk factors, symptoms, and overall health
Blood Tests
Liver function tests check for inflammation and damage
FibroScan (Liver Elastography)
Non-invasive imaging measures liver stiffness and fat content
Additional Testing (If Needed)
Ultrasound, MRI, or liver biopsy for detailed assessment
Fatty Liver Treatment Options We Offer
Comprehensive treatment approaches tailored to your specific needs and health goals
Weight Loss Programs
Medical weight management supervised by our team
Mediterranean Diet Guidance
Evidence-based nutrition plans that reduce liver fat
Physical Activity Plans
Customized exercise recommendations (30+ minutes/day)
Medication Management
Treatment for diabetes, cholesterol, and metabolic conditions
Alcohol Abstinence Support
Counseling and resources to eliminate alcohol intake
Emerging Therapies
Access to new MASH treatments and clinical trials
Can Fatty Liver Be Reversed?
Yes. Simple fatty liver can often be reversed through lifestyle changes.
Weight loss of 7-10% can significantly reduce liver fat. Regular exercise and a healthy diet help shrink the liver and restore function.
Even in NASH/MASH cases, progression can be slowed or stopped with proper treatment.
Life expectancy with fatty liver disease depends on early detection and management. Patients who address the condition early typically have excellent outcomes.
Lifestyle Changes That Work
- Lose 7-10% of body weight gradually
- Exercise 150+ minutes per week
- Limit saturated fats and refined grains
- Follow a Mediterranean or low-carb diet
- Avoid sugary drinks and processed foods
- Manage diabetes and cholesterol levels
- Fatty liver reversal is possible with dedication and proper care
Who Treats Fatty Liver Disease?
Fatty liver is typically managed by gastroenterologists or hepatologists—doctors who specialize in digestive and liver disorders.
In some cases, an endocrinologist may help manage related metabolic conditions like diabetes.
At Center of Diabetes and Cardiometabolic Health (CDCH), our board-certified gastroenterologists are experienced fatty liver specialists serving Daly City and the Bay Area.
Frequently Asked Questions
NAFLD is the umbrella term for fatty liver not caused by alcohol. NASH (the medical term for inflamed fatty liver) has been replaced by the term MASH, which better reflects the metabolic nature of the disease.
FibroScan is a non-invasive test that measures liver stiffness and fat content. It's helpful for staging fatty liver disease and monitoring treatment progress.
Yes. Working with dietitians experienced in fatty liver can make a big difference. They create meal plans that reduce liver fat while meeting your nutritional needs.
Some patients experience dull pain in the upper right abdomen that may radiate to the back or shoulder. However, this is more common in advanced stages.
Simple fatty liver is usually not dangerous. However, if it progresses to NASH/MASH or fibrosis, it can lead to cirrhosis or liver failure. Early treatment is key.
Many patients see improvement in 3-6 months with consistent lifestyle changes. Your doctor can track progress with blood tests and imaging.
Meet Our Liver Specialists in Daly City
Experienced, compassionate physicians dedicated to your liver health
Board Certified
All providers meet the highest standards of care
Same-Week Appointments
Quick access to expert care when you need it
Local to Bay Area
Serving Daly City, San Francisco & surrounding areas
Serving the Bay Area
Our gastroenterology and hepatology clinic proudly serves Daly City, San Francisco, and the surrounding Bay Area. As MAFLD specialists, we're committed to providing expert, compassionate care close to home.
Medical Disclaimer
This information is for educational purposes only and does not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment of MAFLD or any medical condition.
- Accepting New Patients
Ready to Take Control of Your Liver Health?
Don’t wait for symptoms to worsen. Our fatty liver specialists in Daly City are here to help you reverse the damage and protect your future health.
- Accepting new patients
- Same-week appointments available