This episode explores the rising prevalence of fatty liver disease and its often-overlooked connection to various health issues. Against the backdrop of alarming statistics—90 million Americans affected—the discussion details how high blood sugar, insulin levels, toxins, and medications stress the liver. More significantly, a case study of a 50-year-old patient illustrates how functional medicine approaches this issue differently than traditional medicine. For instance, the patient's improved liver function was achieved through dietary changes (increased cruciferous vegetables, reduced alcohol), and targeted supplementation (sulforaphane, N-acetylcysteine, etc.). The conversation then pivots to the underlying causes of this increase, highlighting insulin resistance as a major driver, even in seemingly healthy individuals. The discussion further explains the biological mechanisms involved, emphasizing the liver's role in inflammation and hormone regulation, and the vicious cycle between fat accumulation and insulin resistance. Finally, the episode contrasts traditional medical approaches (weight loss advice, limited medication options) with functional medicine's focus on root-cause analysis, dietary changes (avoiding high fructose corn syrup and refined starches), and targeted supplementation to support liver health. This means a more holistic and personalized approach is crucial for effectively addressing this widespread, yet often underdiagnosed, condition.