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Expert Care for Fatty Liver (MASLD and NASH) to Protect Your Liver
Fatty liver disease, now called MASLD (metabolic dysfunction-associated steatotic liver disease), is a buildup of excess fat in the liver. In some people it advances to NASH or MASH, where the fat causes inflammation and scarring that can progress to serious liver damage over time.
Fatty liver is closely tied to metabolic health. The main risk factors are obesity, type 2 diabetes, insulin resistance, high cholesterol, and high blood pressure. It is now one of the most common liver conditions worldwide.
Fatty liver disease is usually silent in its early stages. Some people feel fatigue or mild discomfort in the upper-right belly. Warning signs of advanced disease include swelling in the legs or abdomen, yellowing of the skin (jaundice), and easy bruising, which need prompt evaluation by a liver specialist.
At Shaya Digestive & Liver Clinic, evaluation begins with a detailed discussion of symptoms, diet, medical history, medications, and lifestyle factors. Diagnostic evaluation may include:
Comprehensive Medical History
Understanding symptom patterns often provides valuable clues.
Blood Testing
Laboratory studies may help identify:
H. pylori Testing
Testing may be recommended when stomach-related symptoms are present.
SIBO Breath Testing
Used to evaluate bacterial overgrowth within the small intestine.
Colonoscopy
May be recommended depending on age, symptoms, family history, and risk factors.
Upper Endoscopy (EGD)
Can help evaluate reflux, gastritis, ulcers, and upper digestive tract disorders.
Dr. Saranya Addepally is a board-certified gastroenterologist with six years of clinical experience, treating a broad range of digestive and liver conditions. She is especially passionate about women’s GI health—areas where patients often feel overlooked or hesitant to seek care.
Her medical journey began in India, where she completed her training before moving to the United States to pursue advanced education in medicine and Gastroenterology at the University of Arkansas.
After several years in practice, she relocated to Houston to continue serving patients in the community. Following two years with a local group, she established her own practice, grounded in the principles and core values she believes are essential to delivering thoughtful, patient-centered care.
It is a buildup of excess fat in the liver, now called MASLD. In some people it advances to NASH, with inflammation and scarring.
Early fatty liver is often harmless, but it can progress to inflammation, scarring, and cirrhosis if not addressed, so it should be monitored.
Yes, especially in the early stages. Weight loss, a healthy diet, exercise, and controlling diabetes and cholesterol can reverse fat buildup.
A FibroScan, a quick and painless scan, measures liver fat and scarring so your specialist can track your liver health over time.
MASLD is driven by metabolic factors rather than alcohol, but drinking alcohol adds extra stress to the liver and should be limited.
A balanced diet lower in sugar, refined carbs, and processed foods, with more vegetables and lean protein, supports liver health and weight loss.
Treatment focuses on reversing fat buildup, reducing inflammation, and protecting your liver. After staging your disease, often with a FibroScan, your specialist builds a plan that may include:
At Shaya Digestive & Liver Clinic, we provide:
There is no single “quick fix” for fatty liver, but early disease can often be reversed. See a liver specialist if you have risk factors like diabetes or obesity, or abnormal liver tests. At Shaya Digestive & Liver Clinic we focus on practical, lasting solutions. To protect your liver:
Offering Fast Track GI appointments
Specialized Gastroenterology Appointments Within 3–5 Business Days
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