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Dr. Amr Abdel Monem M.D.
Professor
Faculty of Medicine Cairo University
Prof. of anesthesia and clinical nutrition
Member of NAASO & ASRA

Following the great results of weight and fat reductions after dealing with professor amr abdelmonem through the internet clinic for more than 10 years……it was proved that the internet clinic is like the land clinic and may be better at sometimes

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Obesity and Science
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Spot reduction is mentioned to be condemned
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 :: Obesity and Fatty Liver

Nonalcoholic fatty liver disease (NAFLD) has been found to have a significant association with insulin resistance and metabolic syndrome disorders. This disease is characterized by a wide spectrum of liver damage, ranging from simple steatosis to steatohepatitis and cirrhosis.



Depending on different methodologies, the prevalence of NAFLD is 2.8% to 30.3% in the general population. The prevalence of NAFLD is associated with increments of BMI, because steatosis was observed in 86% of severely obese patients. Thus, the presence of NAFLD is being recognized as a common liver disorder in patients presenting with the metabolic syndrome.

Alanine aminotransferase (ALT) is a liver-specific enzyme, and thus, it is an indicator of liver injury. Elevated plasma ALT levels are associated with obesity and the metabolic syndrome. However, in these studies, elevated ALT levels were only a surrogate of NAFLD, and neither image study nor biopsy of liver was used (Ann Intern Med 1997; 126,137-145 - J Gastroenterol Hepatol 2003; 18,588-594 - Diabetes 2002; 51, 1889-1895).


In a recent study published in 2005 by the obesity research, they have confirmed the relationship between the metabolic syndrome, bright liver (BL) by liver ultrasonography (US), and plasma ALT levels in a large adult population.

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