Liver disease is often called a silent condition because symptoms tend to appear only in advanced stages. The liver plays a central role in detoxifying the body, producing essential proteins, and regulating metabolism. But despite its vital function, many people overlook early warning signs and lifestyle risks that could lead to serious liver complications.
One of the most common yet underdiagnosed liver conditions is Non-Alcoholic Fatty Liver Disease (NAFLD). Unlike liver disease caused by alcohol, NAFLD affects individuals who drink little or no alcohol. It's closely linked to obesity, insulin resistance, high cholesterol, and sedentary lifestyles – factors that are increasingly prevalent in Singapore and other urbanised societies.
In Singapore, the rise in NAFLD cases has caught the attention of many experts in the field of gastroenterology. Among them is Dr. Fernandes Mark Lee, a specialist with a strong focus on liver health. With extensive experience in diagnosing and treating liver conditions, he has observed that many patients only become aware of fatty liver disease after incidental findings during routine health screenings or blood tests. Fatigue, mild abdominal discomfort, or abnormal liver enzyme levels are often the first warning signs, but by then, the condition may already be advancing. According to Dr Fernandes Mark Lee, early detection is critical in preventing long-term damage and avoiding the need for invasive treatments.
Practising at both Farrer Park Hospital and Mount Alvernia Medical Centre, Dr. Fernandes Mark Lee utilises advanced tools such as FibroScan and liver function profiling to support early diagnosis. His approach is rooted in preventative care, especially for individuals with known risk factors like type 2 diabetes, obesity, and metabolic syndrome. By combining medical expertise with patient education, he helps people take control of their liver health before complications arise.
So how do you know if you're at risk? This quick self-assessment can help you gauge your liver health risk profile:
5-Minute Liver Risk Self-Assessment
Answer Yes or No to the following:
1. Do you have a Body Mass Index (BMI) over 25?
2. Have you been diagnosed with type 2 diabetes or insulin resistance?
3. Do you have high cholesterol or triglyceride levels?
4. Do you consume sugary beverages or processed food regularly?
5. Is your waist circumference above 90 cm (men) or 80 cm (women)?
6. Do you engage in physical activity fewer than 3 times a week?
7. Have you experienced unexplained fatigue, weakness, or discomfort in the upper right side of your abdomen?
8. Do you have a family history of liver disease?
9. Have your recent blood tests shown elevated liver enzymes (ALT/AST)?
10. Have you been diagnosed with hypertension or metabolic syndrome?
Your Results:
• 0–2 Yes Answers: Low Risk – Maintain a healthy lifestyle and consider routine checkups.
• 3–5 Yes Answers: Moderate Risk – You may be at risk for NAFLD. Consider consulting a liver specialist.
• 6+ Yes Answers: High Risk – A medical evaluation is strongly recommended.
Conclusion
Liver disease can develop silently over many years. However, with early screening and targeted intervention, many liver conditions – including NAFLD – are manageable and even reversible. Paying attention to your risk factors is the first step in protecting your long-term liver health.
Making liver health a priority today can help prevent serious complications in the future. Use this self-assessment as a wake-up call and take control of your wellbeing through informed, proactive choices.
