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ANSWER TO QUESTION OF THE WEEK: (9/25/05)
Fatty liver is a relatively harmless condition that does not lead to any significant short-term or long-term consequences. Thus, people with fatty liver rarely, if ever, experience liver-related complications or a decreased life span due to this condition. Whether fatty liver can progress to NASH - nonalcoholic steatohepatitis, has not been definitively determined. However, since such a progression most likely can occur, people diagnosed with a fatty liver, should attempt to eliminate the condition. NASH on the other hand, while typically a slowly progressive disease, can lead to cirrhosis and its complications. It is unclear how often NASH leads to hepatocellular carcinoma (HCC). However, studies have shown that people with both HCC and cirrhosis of unclear cause often are found to have features of the metabolic syndrome- (type 2 diabetes, obesity, high triglycerides and insulin resistance) as well. It is believed that the cases of cirrhosis of unknown origin which led to HCC most likely occurred among people with undiagnosed NASH.
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Dr. Palmer is an internationally renowned hepatologist who has been practicing medicine since 1985. Prior to 2012, she maintained perhaps the largest medical practice devoted to liver disease in the United States. Dr. Palmer is Clinical Professor of Medicine at New York University Medical Center. Dr. Palmer graduated from Columbia University with a B.A. and was trained in hepatology (as well as medical school) at the Mount Sinai School of Medicine in New York City.
Dr. Palmer is Board Certified in Gastroenterology and in Internal Medicine.
She has authored numerous scientific publications in the field of hepatology in such peer-reviewed journals as Hepatology, Gastroenterology, Seminars of Liver Disease, Transplantation and Archives of Internal Medicine.
She is frequently called upon by the media for her opinion on various topics related to liver disease. Dr. Palmer has appeared many times on television as a liver disease expert and has been quoted in such publications as TIME magazine, Cosmopolitan magazine, Prevention magazine, the Los Angeles Times, and Newsday. She also has appeared in numerous videos and CD-Roms aimed at educating doctors and the public about hepatitis C and other liver diseases, such as primary biliary cirrhosis. Dr. Palmer lectures to the medical and general public on liver disease-related topics on a regular basis.
Dr. Palmer has performed numerous clinical trials on various experimental medications for the treatment of hepatitis.
Dr. Palmer is currently available for lecturing, investor and hedge-fund consultations, consultations to industry, and media interviews and appearances-- including television. For such matters, she can be contacted through hepatitismedia@gmail.com.
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