Welcome to the Dr. Berg's Healthy Keto and Interminate Fasting Podcast.

Where Dr. Berg takes you on the journey for the truth about getting healthy and losing

healthy weight.

So the question is why do people with the fatty liver eventually get arthritis?

What is the connection there?

Well there's different stages of liver damage.

You have a fatty liver, then you have a fatty liver with inflammation, then you get scar

tissue in the liver eventually turning into cirrhosis which is an advanced form of

phybrotic tissue in the liver.

So arthritis is inflammation of the joint.

So how does that inflammation get from the liver into the joint through different mechanisms?

Number one, the fat in the liver is both adipose tissue as well as ectopic fat which is

fat outside the adipose tissue.

So ectopic fat is sort of like a spillover fat that can't fit into the fat cell so it

starts to go into different organs and tissues.

Now adipose tissue is an endocrine gland that actually makes cytokines.

These are proteins that cause inflammation.

Ectopic fat also increases cytokines and the specific type of cytokines that are produced

cause systemic inflammation.

Inflammation all over your body like in your joints can also trigger rheumatoid arthritis

as well.

And then on top of that to make things worse, cytokines that can then worsen or create

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