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Obesity: It’s Not Just About the Weight

Details

READING TIME

2 min

CATEGORY

Obesity

AUTHOR

Sinem Çokokur

TOPIC

Bariatric Surgery

Obesity: It’s Not Just About the Weight

⚖️ Rethinking Obesity: It’s More Than a Number on the Scale

When we hear “obesity,” most people think only of excess body weight. But obesity is not just a cosmetic issue — it’s a chronic condition that deeply affects your organs, hormones, metabolism, and overall health.

One of the most impacted organs?
👉 The liver — your body’s unsung metabolic hero.


🧬 The Liver: More Than a Detox Organ

The liver is the largest metabolic organ in your body. It performs countless vital functions, including:

  • Synthesizing plasma proteins (e.g., clotting factors, albumin)

  • Managing cholesterol, triglycerides, and hormones

  • Filtering bacteria and toxins from the digestive tract

  • Regulating carbohydrate, fat, and amino acid metabolism

  • Storing vitamins and minerals

  • Producing and releasing bile

💡 Did you know? The liver can still function with just 10–20% of its healthy tissue!


🚨 Malnutrition & Liver Disease: A Vicious Cycle

People often associate malnutrition with being underweight — but it’s also common in those with chronic liver disease, especially in obese individuals. It worsens as liver function declines and can lead to:

  • Muscle wasting (sarcopenia)

  • Vitamin and mineral deficiencies

  • Weak immune response

  • Increased risk of complications and mortality


🩺 Common Liver Conditions Linked to Obesity:

  1. Hepatitis (viral or autoimmune)

  2. Alcohol-related hepatitis and cirrhosis

  3. Non-Alcoholic Fatty Liver Disease (NAFLD/NASH)

  4. Cholestatic liver diseases

📊 Studies show that only 15% of alcoholics develop liver disease — meaning nutrition, genetics, and lifestyle play a larger role than we often assume.


🧃 Protein Matters — Even With Liver Disease

Contrary to outdated beliefs, protein restriction in liver disease is usually not recommended. In fact:

  • Protein intake of up to 1.8g/kg/day is safe and beneficial

  • It helps reverse muscle loss and supports nitrogen balance

  • Personalized nutrition is critical in compensated liver disease

 

🧭 What Causes Malnutrition in Liver Disease?

  • Loss of appetite

  • Taste disturbances

  • Early satiety

  • Nausea or vomiting

  • Malabsorption

  • Overly restrictive diets

These factors can lead to deficiencies in key vitamins and minerals, which in turn cause fatigue, muscle loss, and weakened healing.


🧠 Final Thought

Obesity is a systemic condition — and the liver is one of the first organs to feel the damage. By understanding how nutrition and body weight affect liver function, we can take proactive steps toward prevention and healing.

👉 Learn how to protect your body with targeted nutrition in our Post-Bariatric Nutrition Guide

Dyt. Sinem Çokokur

Bariatric Surgery