EFR 970: Fatty Liver Disease: How to Prevent and Reverse Liver Damage with Dr. Mike Smith
EFR 970: Fatty Liver Disease: How to Prevent and Reverse Liver Damage with Dr. Mike Smith  
Podcast: Ever Forward Radio with Chase Chewning
Published On: Thu Oct 22 2026
Description: Fatty liver disease is becoming increasingly common—but liver damage can develop quietly, sometimes before obvious symptoms or abnormal liver enzymes appear. Today we welcome Dr. Mike Smith, MD from Life Extension to break down liver health, fatty liver disease, nonalcoholic fatty liver disease (NAFLD), metabolic dysfunction-associated steatotic liver disease (MASLD), cirrhosis, liver inflammation, and the everyday factors that may be putting additional stress on your liver. If you've ever wondered about the symptoms of fatty liver disease, whether fatty liver can be reversed, what causes nonalcoholic fatty liver disease, how MASLD develops, how fatty liver progresses toward cirrhosis, or what you can do today to better protect your liver, this episode is your deep dive into one of the body's most important—and often overlooked—organs. ----- 00:00 – Can Liver Damage Happen With Normal Liver Enzymes? 02:34 – Why Fatty Liver Disease Is Becoming So Common 05:15 – What Your Liver Actually Does Every Day 07:24 – How Food Travels From Your Gut to Your Liver 09:32 – Is Modern Life Overloading the Liver? 10:50 – Excess Calories, Visceral Fat & Fatty Liver Disease 12:22 – Sugar, Fructose & Nonalcoholic Fatty Liver Disease 15:29 – Alcohol and Liver Damage Explained 18:04 – Hangover Supplements, Glutathione & NAC 24:09 – Environmental Toxins and Liver Health 27:50 – Pesticides, Soil Depletion & Our Food Supply 30:47 – How Fatty Liver Progresses to Cirrhosis 33:27 – NAFLD, NASH & the Stages of Fatty Liver Disease 34:42 – Can You Reverse Fatty Liver Disease? 35:25 – The Silent Symptoms of Liver Dysfunction 36:22 – Can You Have Fatty Liver With Normal Liver Enzymes? 38:36 – Testing and Screening for Liver Disease 39:20 – Why Liver Enzymes Don't Tell the Whole Story 40:11 – Ultrasound and Diagnosing Fatty Liver 41:14 – Magnesium and Liver Health 42:13 – Best Supplements for Supporting Liver Health 44:06 – Magnesium L-Threonate, Brain Health & the Liver 45:20 – Why Our Food May Be Magnesium Deficient 49:07 – Can Magnesium Improve Fatty Liver? 50:27 – Foods That Support a Healthy Liver 51:48 – Practical Ways to Protect Your Liver 52:49 – The Most Important Liver Health Takeaways 55:20 – How to Live "Forever-ish" ----- Episode resources: Try Life Extension and save $10 on orders of $50 or more plus free shipping with code CHASE10 when you visit https://www.LifeExtension.com/chase10  http://lifeextension.com/chase10labs  Life Extension @lifeextensionwellness #AgeWellLE Thank you to Life Extension for sponsoring this episode Disclaimer: This episode is for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always discuss personal medical concerns, testing and supplementation with your qualified healthcare provider. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.