#405 ‒ AMA #88: Metabolic liver health: how to assess risk, catch dysfunction early, and prevent or reverse liver disease

In this AMA, Peter Attia examines the liver's role as an early warning system for metabolic dysfunction. He explains how insulin resistance and visceral fat drive liver disease, why standard liver enzyme tests can be misleading, and which non-invasive tools (FIB‑4, FibroScan) provide better insight. The episode covers the spectrum from steatosis to fibrosis, the liver's capacity to heal, and effective interventions including weight loss, GLP‑1 agonists, and exercise, while debunking detox myths.