Fatty liver — the most reversible chronic disease you've never heard of.
Non-alcoholic fatty liver disease (recently renamed MASLD/MASH) affects around 30% of adults globally — most don't know they have it. Weight loss is the only proven treatment. Aafiyah's British GPs screen with liver bloods and FibroScan, then run a targeted programme.
From AED 1,950/month
Includes prescription, monthly GP review, baseline + 3-monthly bloods, WhatsApp access.
Why fatty liver matters
Fatty liver is the liver's expression of metabolic disease. In its simple form (steatosis) it is fully reversible. If inflammation and fibrosis develop (MASH), the liver can eventually scar. Weight loss of 7–10% resolves steatosis in most people and can reduce fibrosis stage.
Because it is silent until late, it is under-diagnosed. Raised ALT/GGT on a routine blood test — especially with insulin resistance or central obesity — should be investigated, not filed.
The Aafiyah pathway
Free 15-minute GP call. Baseline bloods include ALT, AST, GGT, alkaline phosphatase, bilirubin, albumin, platelets, HbA1c, insulin, lipids, ferritin and vitamin D. FIB-4 and NAFLD fibrosis scores are calculated. FibroScan is arranged where indicated.
Treatment plan: nutrition (Mediterranean-style with reduced fructose), resistance training, sleep, weight-loss target 7–10%, and GLP-1 medication where BMI and metabolic markers make it appropriate. Bloods repeated at 3 months to track improvement.
Alcohol, fructose and the real levers
Alcohol accelerates fatty liver even at 'moderate' intake — a review of your intake is part of every consultation, confidentially. Fructose (sugary drinks, some fruit juices) is the other big driver. These are the practical levers that move liver bloods fastest.
Questions patients ask.
Is fatty liver dangerous?+
In its simple form, no — it is reversible. If it progresses to MASH with fibrosis, the risk of cirrhosis and liver cancer rises. Early treatment is why we screen.
Does Mounjaro help fatty liver?+
Yes — tirzepatide has good evidence for reducing liver fat and inflammation. Semaglutide also shows benefit. Prescribed where BMI and metabolic criteria are met.
Do I need a liver biopsy?+
Rarely — we use non-invasive scores (FIB-4, NAFLD fibrosis score, FibroScan) first. Biopsy is a specialist decision if scoring is unclear.
Can I still drink alcohol?+
Best to stop entirely while reversing fatty liver. Reintroduce sparingly if at all after your GP reviews liver bloods.
How fast do liver bloods improve?+
Often within 3 months of meaningful weight loss. We track and adjust.
Related pages.
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"My father refuses to leave the house. Aafiyah's team comes monthly, manages his medication, and treats him with such dignity. It changed everything for our family."
"Called at 8am with a fever, had a British-trained doctor at my door by 11. He sat with me for 45 minutes — not the 5 minutes I'm used to. Prescription delivered same day. Felt like having a proper GP again."
"We finally have one doctor who knows all of us. The kids actually like going. Follow-up calls happen without us chasing. Worth every dirham."
"The 40+ marker report came back with a real conversation, not a PDF dumped in my inbox. Caught a vitamin deficiency I'd been ignoring for years."
"After surgery I dreaded going back to a hospital for dressings. Their nurse came every other day, the doctor checked in by WhatsApp. Healed faster than I expected."
"Fell ill on day two of our trip. Doctor in the suite within 90 minutes, full assessment, prescription to the hotel pharmacy. Genuinely NHS-standard care in Dubai."
"My father refuses to leave the house. Aafiyah's team comes monthly, manages his medication, and treats him with such dignity. It changed everything for our family."
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