Fatty Liver Program

Introduction to the Fatty Liver Program at Jaslok Hospital
The Fatty Liver Pragram at Jaslok Hospital is a pioneering initiative dedicated to addressing the growing prevalence of fatty liver disease, a condition impacting nearly one-third of the Indian population. With a unique multidisciplinary approach, the clinic aims to provide comprehensive and personalized care to patients, focusing on reversing fatty liver disease and preventing its progression to severe complications such as cirrhosis or liver cancer.
Fatty liver disease, often linked to obesity, metabolic dysfunction, and lifestyle factors, is a leading cause of liver-related health issues globally. At Jaslok Hospital, the clinic combines expertise across various medical domains, including hepatology, gastroenterology, bariatric surgery, endocrinology, nutrition, psychology, and physiotherapy. This integration ensures patients receive personalized treatment plans under one roof addressing both the medical and lifestyle dimensions of the disease. The Fatty Liver Program  specialists come together on a fortnightly basis to discuss the cases to ensure that the line of treatment is well-aligned.
The clinic is spearheaded by Dr Aabha Nagral, Director Gatroenterology, Chief Hepatologist and Transplant Physician. The esteemed panel of experts, includes Dr. Ajay Jhaveri,  Dr. Shaival Chandalia, Dr. Shruti Tandan, Dr. Geeta Makhija, Dr. Vigyan Jain, Dr. Sadashiv Chaudhari, DR Shreyas Katharani, Dr. Manek Kutar, Dr. Reena Javkar, Ms. Ishitaa Mehta, Ms. Sonal Chandalia, Ms. Ritika Aggarwal, Ms. Tanya Raj and Ms. Sukhada Thorat.Together, they work to create a holistic treatment framework.

Key features of the Fatty Liver Clinic include:

• Comprehensive Evaluation: Advanced diagnostic tools, including blood tests, body composition analysis, and Fibroscan assessments to help determine the severity of liver dysfunction and tailor interventions accordingly.
• Personalized Care Plans: Each patient benefits from customized dietary recommendations, exercise programs, and psychological counseling, ensuring sustainable lifestyle changes.
• Collaborative Care: Fortnightly multidisciplinary team discussions ensure coordinated and consistent care for every patient.
• Educational Outreach: The clinic emphasizes patient education to foster long-term adherence to healthy practices and reduce the risk of future liver complications.

The program is a structured three-month package, incorporating consultations with specialists, regular progress reviews, and access to online and in-person sessions with trained experts. This initiative reflects Jaslok Hospital's commitment to empowering patients to take control of their health through informed decisions and proactive measures.
By addressing the root causes of fatty liver disease and prioritizing early intervention, the Fatty Liver Clinic at Jaslok Hospital is a beacon of hope for individuals striving to reclaim their liver health and overall well-being.

FAQs on Fatty Liver Disease

What is fatty liver?

• It is also called NAFLD (Non- Alcoholic Fatty Liver Disease) and recently MASLD(Metabolic dysfunction Associated Steatotic Liver Disease). 
• Develops when excess fat builds up in the liver causing progressive liver damage.
• Seen in a third of the Indian population and globally.
• The most common liver disease globally, primarily linked to obesity and metabolic dysfunction.

Who is likely to have a fatty liver?

• Obesity (BMI more than 25 kg/m2)
• Diabetes mellitus
• Hypertension/ Raised blood pressure
• Dyslipidemia/ high cholesterol
• Fatty liver in the family
• Obstructive sleep apnoea (excessive snoring)
• Hypothyroidism
• Polycystic ovarian disease
• Other causes of fatty liver include alcohol, medications and certain genetic diseases.

Different Stages of Fatty Liver Disease

• Healthy liver

• Fatty liver (Steatosis)

1. Often detected incidentally
2. Mildest form characterised by fat in the liver 
3. Without any inflammation, scarring

• Steatohepatitis (Swelling Scarring) 30% of all fatty livers

1. Fat accumulation and inflammation
2. More severe stage of disease
3. If left untreated leads to scarring or fibrosis of the liver

• Cirrhosis with complications 

1. 20% of steatohepatitis
2. After years of inflammation, liver shrinks in size causing end stage liver disease

• Liver Cancer 

Introduction To Our Team Of Experts

• HEPATOLOGISTS

Dr. Aabha Nagral is a Hepatologist and Gastroenterologist trained at GSMC, KEM Hospital, Royal Free Hospital, UK & Mayo Clinic, USA. She has 35 years of experience and currently serves as the Director of Gastroenterology at Jaslok Hospital. Dr. Nagral has held several important positions in national liver organizations and has published extensively on liver disease. She is renowned for pioneering liver transplantation in Western India.
Dr. Ajay Jhaveri is a Hepatologist and Gastroenterologist, trained at Nair Hospital and Jaslok Hospital, Mumbai. Currently serving as a Consultant in the Department of Gastroenterology at Jaslok Hospital & Research Centre, Dr. Jhaveri's expertise spans medical gastroenterology and hepatology.
Dr. Manek Kutar is a Hepatologist and Gastroenterologist  who has completed his training from P.D. Hinduja Hospital, Mumbai. He has also completed MUHS fellowship in Hepatology from Jaslok Hospital and Medical research centre. He is   currently serving as a Senior Clinical Associate in the Dept of Gastroenterology.

• PHYSICIANS

Dr. Shaival Chandalia is a consultant Endocrinologist and Diabetologist affiliated with Jaslok Hospital. He is recognized for his contributions to diabetes care, including patient education and Indian perspectives in diabetes management.
Dr. Shruti Tandan is a consultant critical care physician with nearly two decades of experience. Dr. Tandan trained at GSMC, Mumbai and AIIMS, New Delhi and King's College hospital, London. She has a special interest in lifestyle management of diabetes, hypertension and metabolic diseases.
Dr. Geeta Chhabria is a consultant in Internal Medicine. She has done DNB in General Medicine from BARC hospital and completed the same in 2013. She has rich experience of over a decade in this field. She also holds a fellowship in diabetes care.

• NUTRITIONISTS

Ms. Ishitaa Bhatia Mehta is a consultant nutritionist specialising in pediatric nutrition, eating disorders and behavioural nutrition. She holds a double Masters degree in nutrition from India and University College London, UK.
As a Chief Nutritionist, Ms. Sonal Chandalia, brings over 30 years of experience in Nutrition, Dietetics and Lifestyle Counselling at Dr. Chandalia’s Diabetes Endocrine Nutrition Management and Research Centre. Her expertise encompasses a broad range of endocrine and metabolic diseases, including obesity, cardiovascular diseases and fatty liver diseases in both pediatric and adult patients.

• PSYCHOLOGISTS

Ms. Ritika Aggarwal completed her MSc in Clinical Psychology from Christ University, Bangalore, followed by a 1 year PGCC in counseling from the Maharashtra Institute of Mental Health at Sassoon Hospital, Pune. She have also received training in psycho-oncology, palliative care, music therapy and sound work, with experience in working with chronic illness and obesity.
Ms. Tanya Raj is a Clinical Psychologist (RCI Licensed) qualified with M.Phil Clinical Psychology, Specialized in Trauma focused and Narrative Therapy, and Experience in working with chronic illness and obesity.

• EXERCISE PHYSIOTHERAPISTS

Dr Shreyas Katharani, Head of Physiotherapy at Jaslok Hospital, has over 15 years of experience. He specializes in musculoskeletal injuries and sports rehabilitation, offering personalized exercise programs to improve liver health and reduce the progression of fatty liver disease. Dr. Katharani has trained at SAI( Sports Authority of India) centers and NIMHANS Hospital, Bangalore and worked at Seven Hills Hospital and Jaslok Hospital, Mumbai. 
Dr. Reena Javkar is a highly experienced Physiotherapist with 28 years of dedication to enchancing patients quality of life and achieving rehabilitation goals. She hold a Bachelor’s degree in Physiotherapy from GS Medical College, along with a PGDHHM and PGDQMHHO from Symbiosis, Pune. Additionally, she is a certified Lymphedema Management Therapist from Tata Memorial Hospital, Mumbai.

• BARIATRIC SURGEONS

Dr. Vigyan Jain is a Consultant Upper GI and Bariatric Surgeon in the UK, where he established and led the Bariatric Surgery and Weight Loss Service for several years. He is also a national trainer and educator for Bariatric Surgery at Luton and Dunstable Hospital, UK.
Dr. Sadashiv Chaudhari is a surgeon with 15 years of  experience specializing in advanced laparoscopic surgeries including, bariatric surgery. Dr. Chaudhari has performed over 5000 laparoscopic procedures and is recognized nationally for his expertise and training initiatives at Jaslok Hospital.

• COORDINATOR

Ms. Sukhada Thorat, Clinical Coordinator at the Fatty Liver Clinic, has over 5 years  of experience in clinical trial coordination. With a background in Biotechnology, Microbiology, and Clinical Research, she has managed numerous trials, including a national fatty liver observational study.

What does the 3 months Package Include?

• 2 physician consults.
• 4 personalized sessions with clinical nutritionists.
• 6 personalized sessions with trained psychologists.
• 36 sessions with physiologists (including online sessions based on weekly progress reports).

Jaslok Hospital & Research Centre
Address: 15, Dr. G. Deshmukh Marg Mumbai- 400026
For Appointments: 8879193989 & 9930192000
For Emergency & Ambulance Services: 080 623 44444
Email ID: fattyliverclinic@jaslokhospital.net
Website: www.jaslokhospital.net