Fatty Liver: Causes, Symptoms, Diet, and More background image
May 27, 2021

Fatty Liver: Causes, Symptoms, Diet, and More

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When most people think of conditions caused by obesity, cardiovascular disease usually jumps to mind. But obesity is also strongly linked to a condition called fatty liver disease, or nonalcoholic fatty liver disease. 

Fatty liver is one of those conditions that rarely causes problems, until suddenly, it causes big problems. Severe consequences range from heart disease to liver failure. 

Fortunately, fatty liver can be treated and reversed, given sustainable diet and lifestyle changes. Let’s look at what fatty liver disease is, symptoms, and how to treat it.

Table of Contents: 

What is fatty liver disease?

Fatty liver disease, also called nonalcoholic fatty liver disease or NAFLD, is a silent killer on the rise in the American population. The American Liver Foundation estimates that NAFLD is the most common liver condition in the United States, and a shocking 25% of U.S. adults have fatty liver disease. Five percent of U.S. adults have a more severe inflammatory form called nonalcoholic steatohepatitis or NASH. [1] 

NAFLD also affects ten to 20 percent of children in the U.S. and is expected to cause worsening liver conditions with age. [2]

Along with rising rates of obesity, metabolic dysfunction, and more, fatty liver cases are rising and can lead to grave long-term effects.

What causes fatty liver?

When we break it down, fatty liver is caused by three main issues: 

  1. Too much fat entering the liver
  2. Too much fat being made in the liver
  3. Not enough fat leaving the liver.

These three factors lead to build up of fat in and around the liver, which impairs the liver’s ability to do its job: detoxify our bodies. 

So what causes this buildup of fat? Obesity, metabolic dysfunction, and insulin resistance have been identified as main causes, which all comes back to a diet poor in nutrients and high in processed carbs, sugar, and refined oils, along with a lack of movement and a high-stress lifestyle.

Fatty liver symptoms

Fatty liver disease is easy to miss, especially in early stages, because it doesn’t really have any overt symptoms. When it begins to worsen, fatigue, liver swelling, abdominal pain, jaundice, and fluid retention can occur. In the late stages, scar tissue develops in the liver and it finally begins to shut down.

Your doctor may look for elevated liver enzymes to confirm fatty liver disease, but these will not be elevated in the initial stages, when diet and lifestyle changes are critical for reversing the condition.

Fatty liver treatment

Fatty liver can absolutely be treated––and even reversed––in the early stages with a transformation in diet and lifestyle. A person would also do well to prioritize certain nutrients and add detoxifying foods and practices to their daily routine. Let’s discuss these components one by one. 

Fatty liver diet

The most integral change for reversing fatty liver is to incorporate a healthy, sustainable diet. And when we say sustainable, we don’t just mean for the planet, we mean a diet that you can enjoy for the rest of your life that allows you to live healthily and well. 

This means generally avoiding:

  • Processed sugar
  • Processed carbs
  • Refined flours
  • Refined oils

This list encompasses most pre-packaged foods and fast food. Does it mean you can’t enjoy a slice of chocolate cake on your birthday? No, but it means you aren’t reaching for the donuts, candy, and pre-packaged snacks every single day. Instead, reach for whole foods, home-cooked meals, and lots of fresh produce. 

What you should eat: 

  • Animal protein: meat, eggs, fish, etc.
  • Nonstarchy vegetables: greens, broccoli, cauliflower, brussels sprouts, radishes, bell peppers, etc.
  • Saturated fats: again eggs, ghee, coconut oil, etc.
  • MCT Oil: shown to attenuate liver damage in pigs [3]
  • Fruits: apples, bananas, berries, etc.
  • Nuts and seeds
  • The “rainbow:” as many colorful foods as you can find to get a host of different vitamins, minerals and phytonutrients.
  • Balanced meals with protein, fat, and healthy carbs
  • Naturally detoxifying foods, like garlic, onions, broccoli family vegetables, beets, etc.

Now, you might have done a double take on one of these: saturated fats. Despite the bad press saturated fat has gotten over decades, it’s actually a crucial part of your cell membranes. Plus, saturated fat is the most stable fat, meaning it can handle high temperatures when cooking without oxidizing, which would be damaging to your health. You also need saturated fat for healthy brain cells and brain function. 

Despite the term “fatty liver,” it’s not dietary fat that is the culprit here (besides inflammatory seed oils of course). Healthy fats, both saturated and unsaturated, are crucial to a strong metabolism and providing essential fatty acids for your cell membranes. They also make you feel fuller for longer, reducing cravings and stabilizing your hormones. 

The real villain is sugar, specifically processed sugar, and even sometimes natural sugar if it’s being consumed in extremely high amounts. That’s why it's important to balance out natural sugar with fiber and fat, to slow absorption and allow the body to use it efficiently as fuel. 

You can read more about good vs. bad fats and oils in our blog post here. 

Exercise

We all know about the importance of exercise, but most of us have the wrong idea when it comes to the type of exercise we should really be doing every day. 

There’s the intense, hardcore exercise like HIIT workouts and heavy weightlifting, but then there’s movement like simple walking, stretching, yoga, or casual sports. To counteract NAFLD, the point is not to stress the body with intense training, but rather to simply move in a way that feels good and challenges you slightly. Over time you can increase the difficulty as it feels good to you. 

Supplementation

Phosphatidylcholine (PC) has been shown to manage fatty liver in rats.* [4] PC supports cell membrane health, facilitating fatty acid transport in and out of the cell, but it also supplies choline when needed. Choline is a vital nutrient that can help restore hepatic (liver) function.* 

If a person takes liposomal PC to address fatty liver disease, serum choline will reach its peak in about six hours. Once this occurs, PC will start to prevent fibrosis and cirrhosis by encouraging collagen breakdown and modulating pro-inflammatory cytokines, including TNF-a [5].* The body inherently knows when to use PC as a cell membrane component, and when to break it down to get simple choline depending on its needs. Isn’t that amazing? 

Butyrate has also been shown to have an interesting connection to improving liver health by improving gut health. Butyrate is a short-chain fatty acid metabolite produced by the gut microbes in our colon. It is remarkably anti-inflammatory and supports the delicate cells that line our gut, and now research shows that butyrate-producing probiotics can also reduce triglycerides, improve insulin resistance, and lower inflammation in the liver.* [6]

Finally, studies on fish oil, particularly omega-3 essential fatty acids, have shown to be effective in reducing liver inflammation and oxidative stress in fatty liver as well as lowering triglycerides.* [7] However, fish oil use remains controversial, as it seems to have both positive and negative effects, especially depending on a person’s ratio of omega-6 to omega-3 fatty acids. [8] Always consult with a trusted healthcare provider before beginning fish oil or another new supplement. 

When you decide to add supplementation to your health protocol, you want to go with a trusted supplier backed by years of valid scientific research. Learn more about BodyBio PC, BodyBio Butyrate, and BodyBio Fish Oil. 

Understanding fatty liver disease

Even though fatty liver disease is on the rise in the U.S., the keys to fixing it are remarkably simple and rarely even prompt prescription medication. Refocusing on a whole-foods, balanced diet, movement, lowering stress, and strategic supplementation can turn this condition around well before it can cause further damage to cardiovascular health and more. Don’t forget to support your liver! 

Learn more about how BodyBio supplements support your health on the cellular level.

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Ashley Palmer | 10.27.2026

Semaglutide Can Change What People Want to Eat. Here's What Your Gut Has to Do With It.

Imagine you order the meal you've loved for a decade, and a few bites in, you realize you just don't care about it. You're not full, exactly. Just uninterested.

Many people taking semaglutide (a GLP-1 medication) describe this experience. Foods that were reliable favorites suddenly seem greasy, or too sweet, or just vaguely off. Scientific American captured the strangeness: a former food writer losing interest in cooking, longtime favorites tasting wrong.

The obvious explanation is that these medications make you feel full sooner. But fullness doesn't explain why a specific curry tastes bitter now, or why a go-to wine suddenly tastes off. Something more is happening, and it points to a hormone your body has been producing your whole life.

In this article, we'll look at what the newest research suggests semaglutide does to food preferences, what GLP-1 actually does inside the body, and where your gut microbiome and a short-chain fatty acid called butyrate fit into that system.

Table of Contents:

  • Semaglutide Isn't Only Changing How Much People Eat
  • Your Gut Was Making GLP-1 Long Before Ozempic
  • Where the Microbiome Comes In
  • Can Butyrate Support Natural GLP-1 Production?
  • Why Butyrate Matters Beyond One Hormone
  • Support the System, Not Just the Signal
  • The Bigger Story Your Gut Was Already Telling

Semaglutide Isn't Only Changing How Much People Eat

Researchers are starting to document what users have been describing anecdotally.

A 2026 observational study of hospitalized Japanese patients with type 2 diabetes found that those on semaglutide showed significantly reduced preference for sweet carbohydrates, non-sweet carbohydrates, and non-sweet fats — while preferences for protein and dietary fiber stayed essentially unchanged. This wasn't a blanket loss of interest in food. It was a selective shift.

For someone focused on weight loss, eating less may be the point. Still, a reduced appetite for fats is worth paying attention to, since dietary fats supply essential fatty acids and help the body absorb fat-soluble vitamins.

Taste perception may also contribute. In a 16-week, randomized, placebo-controlled study of 30 women with obesity and PCOS, semaglutide improved overall taste recognition scores and altered brain activity in response to both food images and a sweet solution. In other words, participants' sense of taste sharpened, which may help explain why some foods suddenly seem too strong.

A 2025 study found the opposite: reduced sensitivity across all five basic tastes in people taking GLP-1 medications compared with matched non-users. That means the more accurate takeaway isn't "Ozempic makes food taste different" so much as "GLP-1 signaling reaches further into how we experience food than many researchers expected."

None of these studies settles the question on its own. But together they point somewhere useful: GLP-1 isn't only a satiety signal. It appears to play a role in how appealing food seems in the first place.

Your Gut Was Making GLP-1 Long Before Ozempic

Here's what often gets lost: GLP-1 wasn't invented by a pharmaceutical company.

GLP-1 is a hormone your intestines release on their own, produced mainly by specialized cells called enteroendocrine L-cells. These cells sit in the gut lining, acting as sensors that detect what's arriving from your meal and releasing hormones that coordinate the response.

GLP-1 helps regulate insulin release, slows how quickly the stomach empties, contributes to satiety, and carries information from the gut to the brain. GLP-1 medications didn't create a new pathway. They target one your body was already running.

But there's an important difference, and a lot of wellness marketing glosses over it. Your body's own GLP-1 is broken down within minutes of release. Semaglutide is engineered to resist that breakdown and activate GLP-1 receptors far more strongly, for far longer.

Supporting your body's own GLP-1 signaling through food or the microbiome isn't a lesser version of taking semaglutide. It's a different thing entirely.

Where the Microbiome Comes In

Your gut bacteria eat what you don't digest.

When fermentable fibers and resistant starch reach the colon, bacteria ferment them and produce short-chain fatty acids (SCFAs), mainly acetate, propionate, and butyrate. These aren't waste products. They're signaling molecules, and the cells lining your intestines are built to receive them.

Intestinal cells carry receptors, including FFAR2 (also called GPR43) and FFAR3, that detect short-chain fatty acids. When SCFAs bind these receptors on L-cells, they trigger an internal cascade that can influence the release of gut hormones, including GLP-1 and a related satiety hormone called PYY.

So the pathway is real: fiber arrives, microbes ferment it, metabolites are produced, gut cells sense them, hormones get released, and the gut communicates with the pancreas and the brain. That last link is worth sitting with — your gut and brain are in constant conversation, and food-derived microbial metabolites are part of what they're saying to each other.

The quick version of this compresses to: fiber → butyrate → GLP-1 → less hunger. The actual biology is an ecosystem with many signals, of which butyrate is one.

Can Butyrate Support Natural GLP-1 Production?

The mechanistic evidence is strong. The human evidence is thinner, but still developing.

A small 2026 study in adults with obesity found that oral sodium butyrate combined with L-arginine significantly increased circulating GLP-1. That's encouraging, but the study had only seven participants, butyrate wasn't tested on its own, and participants reported no difference in hunger or fullness.

By contrast, in a 2025 randomized controlled trial of 50 adults with obesity, people taking sodium butyrate alongside a reduced-calorie diet saw reductions in weight, BMI, and waist circumference, but their serum GLP-1 didn't change significantly.

A 2026 randomized, double-blind trial of 46 adults added more nuance. After 12 weeks of sodium butyrate plus a moderately reduced-calorie diet, participants with obesity lost a meaningful amount of weight. Participants who also had type 2 diabetes did not, although their blood sugar control improved.

That pattern echoes an earlier finding. In a 2018 study, four weeks of oral butyrate improved insulin sensitivity in lean men but not in men with metabolic syndrome.

Together, these suggest butyrate's effects depend heavily on metabolic context: who you are, what your microbiome looks like, and where the butyrate ends up. But GLP-1 is only part of the story.

Why Butyrate Matters Beyond One Hormone

Focusing only on GLP-1 undersells what butyrate does.

Butyrate is the primary fuel source for colonocytes, the cells lining your colon. Not a supporting nutrient. Their main energy supply. Those cells use butyrate to power the work of maintaining a functioning gut lining, the barrier that decides what passes from your digestive tract into your body and what doesn't.

This is where the cellular health picture comes together. A well-fueled intestinal lining supports a healthy gut barrier. A healthy barrier supports a stable environment for the microbial community living there. And that community produces metabolites that signal to the rest of the body — including the gut-to-brain communication involved in appetite and satiety.

Butyrate sits at the center of that loop as both fuel and message. That role holds regardless of what the GLP-1 research eventually concludes.

Support the System, Not Just the Signal

The takeaway isn't that you should be trying to maximize GLP-1. Your metabolism and gut function are more complex than one signal.

Lasting metabolic regulation runs on an ecosystem: microbial diversity, adequate fermentable fiber, well-nourished intestinal cells, an intact gut barrier, and steady communication between gut and brain. Semaglutide shows what happens when you push one signal in that system very hard. It doesn't show that one signal is the whole system, or the only way to modulate it.

Feeding that ecosystem starts with fiber-rich whole foods: vegetables, legumes, cooked-and-cooled potatoes and rice (good sources of resistant starch), and other plant foods your gut bacteria can thrive on. Give it time. Gut environments shift over weeks and months, not days.

For targeted support, BodyBio Butyrate provides butyrate in supplement form to support the gut lining and a healthy microbiome.*

The Bigger Story Your Gut Was Already Telling

Semaglutide has taught researchers a great deal about how strongly GLP-1 signaling can influence not just hunger but desires: what sounds good, what tastes right, and what gets left on the plate.

And yet, the more interesting revelation may be how much was already happening without it. Every meal you eat feeds a microbial community that turns fiber into signaling molecules, which intestinal cells read and translate into messages sent onward to your pancreas and your brain. That conversation has been running your entire life.

Butyrate is one voice in that conversation. It fuels the cells that hold your gut barrier together and takes part in the signaling between your microbiome and the rest of your body. Supporting butyrate production in the gut won't replicate a pharmaceutical. It doesn't need to. Feeding the system well is its own goal, and the benefits build gradually, often in small shifts that are easy to miss at first.

Support your gut at the cellular level with BodyBio Butyrate.*

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

This article is for educational purposes only and is not a substitute for medical advice. If you're taking semaglutide or another GLP-1 medication, talk with your healthcare provider before adding new supplements.

Ashley Palmer | 06.16.2026

Comprehensive Guide to Butyrate: What it is, Benefits, Side Effects, & More

Butyrate is a necessary component to a balanced microbiome, also working as an inflammation guard*. One of several, short-chain fatty acids created from fermented resistant starches, low butyrate levels have been associated with serious health concerns.

Ashley Palmer | 04.24.2026

Butyrate and IBS: What Your Gut Cells Actually Need

You've tried the probiotics. You've cleaned up your diet. You're doing everything you're supposed to do, and your gut still isn't cooperating.

If you have IBS, that frustration is familiar. Bloating, urgency, unpredictable mornings, the constant guessing game of what's going to set things off.

What often gets missed in the conversation around IBS isn't a trendy new supplement or a stricter elimination diet. It's something more foundational: what your gut's own cells actually need to function.

Here's a closer look at what butyrate does, why IBS and low butyrate levels are closely linked, and how supporting the gut at the cellular level can make a difference.

Table of Contents:

  • Understanding Butyrate

  • How Butyrate Works in the Gut

  • Why This Becomes an Issue for People With IBS

  • Supporting the Body More Effectively

  • Butyrate, IBS, and the Cellular Health Connection

  • How Butyrate Supports IBS Comfort Long-Term

Understanding Butyrate

Butyrate is a short-chain fatty acid (SCFA) produced in the colon when beneficial gut bacteria ferment dietary fiber, specifically resistant starch. It belongs to a class of compounds called postbiotics, the functional byproducts of a healthy microbiome.

Unlike probiotics, which are living bacteria, butyrate is a metabolite. It's a compound your body puts to work directly at the cellular level. Understanding the difference between probiotics and postbiotics, like butyrate, is a useful shift you can make when thinking about gut health.

Why the Body Relies on Butyrate

Your colon is lined with specialized cells called colonocytes. These cells run almost entirely on butyrate, providing up to 90% of their energy needs.

When colonocytes have what they need, they do their job well. They maintain the integrity of the gut lining, regulate what passes into the bloodstream, support a healthy inflammatory response, and help keep gut motility on track. Without enough butyrate, the gut’s main source of energy, the gut simply can't do its job well.

How Butyrate Works in the Gut

Butyrate supports three interconnected systems in the gut: the gut lining, the immune environment, and gut motility.

The gut lining is just one cell layer thick. Butyrate fuels those cells and supports the tight junctions between them, the structural connections that keep the barrier intact and functioning.

At the immune level, butyrate helps the body maintain a balanced inflammatory response in the colon without triggering overactivation. And because it directly influences the rhythmic contractions that move contents through the digestive tract, it plays a meaningful role in the irregular patterns that so many people with IBS experience.

What Happens When Butyrate Levels Are Supported vs. Strained

When butyrate is available in adequate amounts, the gut lining stays resilient, motility is more regular, and digestive comfort improves, whether you have a diagnosis of IBS or not.

If butyrate levels fall short, the gut barrier may become less stable, motility can become unpredictable, and the colon's immune environment may shift. How pronounced these patterns are varies from person to person. Diet, stress, genetics, and microbiome composition all play a role in your body’s patterns too.

Why This Becomes an Issue for People With IBS

Modern Stressors on Butyrate Production

Butyrate is made by gut bacteria that ferment resistant starch, a type of fiber found in foods like cooked and cooled potatoes, legumes, and underripe bananas. The modern diet is low in these foods. That means many people simply aren't giving their gut bacteria the raw materials they need to produce adequate butyrate levels.

Antibiotic use, chronic stress, and certain medications can also reduce the population of butyrate-producing bacteria in the colon. Over time, that compounds the butyrate production gap.

Why Common Approaches Often Fall Short

Probiotics can be a valuable part of gut health support, but most probiotic strains are not butyrate-producing species. They can shift the microbiome, but they don't directly address the fuel shortage that many IBS-related symptoms may stem from.

Fiber-based approaches come with a similar challenge. In some people with IBS, increasing fermentable fiber can worsen bloating and gas before it helps, because a disrupted microbiome may not efficiently use that fiber to make butyrate.

Since butyrate works at the cellular level, the signs of low butyrate can overlap common IBS symptoms, which is part of why the connection between the two gets overlooked.

Supporting the Body More Effectively

Foundational Support for Butyrate Production

Diet is the first step to improving the body's natural butyrate production. Foods high in resistant starch give butyrate-producing bacteria what they need to function properly.

Foods that naturally support butyrate production include cooked and cooled rice, potatoes, and legumes. A steady intake of resistant starch over time does more for the microbiome than occasional high-fiber days followed by low-fiber ones.

Stress management and adequate sleep can also support a more stable gut environment. Chronic stress directly affects microbiome composition and motility through the gut-brain axis. 

When Targeted Butyrate Support Makes Sense

For people whose microbiome is disrupted or whose diet can't consistently provide enough resistant starch, direct butyrate supplementation is another option for long-term support.*

Supplemental butyrate delivers the short-chain fatty acid directly to the colon, where colonocytes can put it to use.* Clinical research has shown that sodium butyrate supplementation is associated with improvements in abdominal comfort and bowel regularity in people with IBS.

Sodium butyrate and calcium magnesium butyrate are both effective options, and the differences between which works best for your body often come down to your individual health history and mineral needs.*

Butyrate, IBS, and the Cellular Health Connection

IBS is complex, and its causes vary from person to person. But one consistent finding in the research is that people with IBS tend to have lower levels of butyrate-producing bacteria and overall reduced short-chain fatty acids in the gut. That points to a cellular resource problem as much as a microbiome problem.

When the cells lining the colon are undersupported, the entire digestive environment becomes less stable. Gut barrier function, motility, immune signaling, and communication along the gut-brain axis all depend on colonocytes having what they need to function.

Supporting the gut at the cellular level is not a replacement for other gut health practices (whole food probiotics, exercise, etc.). It’s the foundation that makes those practices more effective. When your cells are supported, the body functions more efficiently as a whole.

How Butyrate Supports IBS Comfort Long-Term

IBS can feel like a moving target, and the path toward better digestive comfort is rarely a straight line or a quick fix. Supporting your gut at the cellular level creates a more stable foundation, and that starts with making sure colonocytes have the fuel they need.*

Butyrate works best as part of a consistent approach that includes diet, lifestyle, and targeted support where needed. Progress tends to be gradual, and that's expected. It reflects the time it takes for the gut lining to strengthen and the microbiome to rebalance.

IBS makes a lot more sense when you know what the gut's cells actually need. And that clarity is often where real progress begins.

Support your gut at the cellular level with BodyBio Butyrate.*