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The field marshal of the Hall of Fame, Dan Marino, recently revealed that he was diagnosed with steatohepatitis or mash associated with metabolic dysfunction.
The legend of the Miami Dolphins said that the discovery came years ago after a routine check when it felt slow.
“MASH is a serious form of liver disease characterized by excessive accumulation of fat in the liver, combined with inflammation and damage to liver cells,” said Rosario Ligresti, MD, head of gastroenterology at the Medical Center of the University of Hackensack in New Jersey, News Digital.
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Unlike alcoholic liver disease or viral hepatitis, puree develops silently from daily health problems such as obesity, type 2 diabetes, high cholesterol and high blood pressure.
While Marino’s story caught the headlines, experts say it is part of a much larger health crisis that often goes unnoticed.

Puree is a serious form of liver disease characterized by excessive accumulation of fat in the liver, along with inflammation and cell damage. (Istock)
“Puree is often called ‘silent’ disease because it usually progresses slowly for many years with few or no symptoms in its early stages,” Lighti said.
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When red flags appear such as fatigue, jaundice, swelling or easy bruises, the damage can already be done, warned the doctor.
Persistent inflammation can lead to fibrosis, which can progress to cirrhosis, a serious and irreversible healing of the liver.

The field marshal of the Hall of Fame, Dan Marino, recently revealed that he was diagnosed with the stoatitis associated with metabolic dysfunction. (Rich Barnes/Getty images)
Cleveland Clinic points out that Mash develops from MASLD (steatotic liver disease associated with metabolic dysfunction), a condition in which fat is present in the liver but does not produce significant inflammation. Change to puree is what makes it dangerous.
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It is estimated that 1.5% to 6.5% of the global population is affected by this disease, according to Ligresti, and the numbers are increasing along with obesity and diabetes rates.
“While it can affect people of any age, it is more frequently diagnosed in medium -sized adults,” he said.
A sedentary lifestyle and a high diet in processed foods, sugary drinks and unhealthy fats are predominant causes of the disease, although genetics can also play a role.

Early intervention can reverse liver disease, and now, some medications for weight loss can also provide a solution. (Istock)
Cleveland Clinic lists the following warning signals that mash may indicate.
- A pain in the upper right
- Extreme fatigue and weakness
- Loss of appetite
- Swollen belly
- Unexpected weight loss
- Yellowish skin and eyes
Catching early disease is key, experts say.
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“If you think it could have puree, especially if you have risk factors such as obesity, type 2 diabetes or high cholesterol, it is crucial to see a medical care provider,” Lighti advised.
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“Changes in lifestyle such as diet, exercise and weight loss can often stop or even reverse liver damage in the early stages,” he added.
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As of this year, the United States Food and Food Administration has approved GLP-1 medications, already used for diabetes and weight loss, as a treatment for puree. Research shows that they can reduce liver fat, improve inflammation and reduce scars.
Khloe Quill is a lifestyle production assistant with News Digital. She and the lifestyle team cover a variety of stories issues that include food and drink, travel and health.


