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Liver diseases: Fatty liver, hepatitis, and cirrhosis explained

The liver is vital to nearly every aspect of our health, yet many liver diseases progress silently until damage is severe. This article explains three major liver conditions—fatty liver, hepatitis, and cirrhosis—covering their causes, symptoms, and progression. For individuals with advanced disease and no remaining treatment options, we also introduce cryopreservation as a future-oriented alternative to consider.
4 minutes
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June 26, 2025
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Medical
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Liver diseases
Joana Vargas

The liver is one of the body’s most resilient organs. It filters toxins, regulates metabolism, stores energy, and produces proteins essential for life. But even this powerhouse has its limits. When overworked or chronically damaged, it begins to break down, often in ways that go unnoticed until the consequences are serious.

Liver diseases are a diverse group of conditions with many causes, but they share a common danger: the potential to silently cause irreversible damage. Fatty liver, hepatitis, and cirrhosis represent different stages or types of liver dysfunction, and together they account for millions of deaths each year.

Understanding how these conditions work, how they differ, and what warning signs to look for can make a crucial difference, not only in managing symptoms, but in making informed decisions when the path becomes uncertain.

The hidden beginnings: fatty liver disease

Fatty liver disease occurs when fat accumulates inside liver cells. At first, this build-up may cause no symptoms at all. But over time, the excess fat can inflame the liver and lead to more serious damage.

There are two main types:

- Non-alcoholic fatty liver disease (NAFLD): Often linked to obesity, insulin resistance, and metabolic syndrome. It is becoming increasingly common, especially in younger populations.

- Alcohol-related fatty liver disease: Caused by excessive alcohol use, which disrupts fat metabolism in the liver.

Fatty liver is considered reversible, if caught early and lifestyle changes are made. But if inflammation develops (a condition called steatohepatitis), scarring can begin, paving the way for cirrhosis.

Signs can include:

- Fatigue

- Discomfort in the upper right abdomen

- Slightly elevated liver enzymes on blood tests

Because these signs are so subtle, the condition is often discovered incidentally during routine checkups.

When the immune system joins in: hepatitis

Hepatitis refers to inflammation of the liver, and it can be caused by infections, toxins, or autoimmune reactions. The most common forms are viral, hepatitis A, B, and C, each with distinct transmission paths and long-term risks.

- Hepatitis A is often transmitted through contaminated food or water. It usually resolves on its own.

- Hepatitis B can be acute or chronic and is passed through blood or bodily fluids. It may lead to long-term liver damage.

- Hepatitis C is primarily bloodborne and is a major cause of chronic liver disease and liver cancer. Until recently, it was notoriously difficult to treat, but new antiviral therapies have dramatically improved outcomes.

There are also autoimmune hepatitis forms, where the body’s immune system mistakenly attacks liver cells. These cases can be unpredictable and require long-term immune modulation.

Symptoms of hepatitis can include:

- Jaundice (yellowing of skin and eyes)

- Nausea or vomiting

- Dark urine, pale stools

- Abdominal pain

- Joint aches or fatigue

Some forms of hepatitis remain asymptomatic for years, especially hepatitis C, which makes early testing and screening vital for prevention and control.

Cirrhosis: the liver’s breaking point

Cirrhosis is the final common pathway of many liver diseases. It occurs when chronic inflammation leads to scarring (fibrosis) that replaces healthy liver tissue. As the scarring worsens, the liver becomes hard and nodular, and its ability to function is progressively lost.

Cirrhosis can result from long-standing fatty liver disease, chronic hepatitis B or C, heavy alcohol use, or rare genetic disorders. Once cirrhosis sets in, complications can quickly arise:

- Ascites: Fluid accumulation in the abdomen

- Varices: Fragile, swollen veins in the esophagus or stomach that can bleed

- Hepatic encephalopathy: Confusion and cognitive changes due to toxins in the bloodstream

- Liver cancer: Particularly in those with long-term hepatitis or alcohol-related cirrhosis

- Liver failure: When the liver can no longer sustain life

Unlike early-stage liver conditions, cirrhosis may not be reversible. Treatment focuses on slowing progression, managing symptoms, and preventing complications.

In some cases, liver transplantation is the only remaining option. But not everyone is eligible, and donor organs are limited.

Living with chronic liver disease: emotional and physical toll

Living with liver disease, especially when it becomes chronic or terminal, is not just a physiological experience. It affects mental health, social life, career, and sense of identity.

People often face:

- Fatigue that disrupts daily activities

- Anxiety about disease progression

- Isolation due to dietary restrictions or unpredictable symptoms

- Emotional strain from limited treatment options and uncertain timelines

For families, watching a loved one lose strength or undergo repeated hospital visits can be heartbreaking. When a person is told that there is nothing more to be done, the emotional weight is heavy, for everyone involved.

Cryopreservation: a future-focused decision when treatment ends

For individuals facing end-stage liver disease, when transplantation is not an option or has failed, the future may seem completely closed. But for some, cryopreservation offers a new kind of decision, one based on science, structure, and the belief that tomorrow may bring what today cannot.

Cryopreservation involves cooling the body to ultra-low temperatures after legal death and replacing bodily fluids with cryoprotectants to prevent ice damage. The aim is to preserve cellular and neural structure, especially the brain, in the hope that future technologies might offer repair or regeneration not currently available.

Cryopreservation is not a treatment for hepatitis or liver failure. It will not stop the course of the disease. But it is a scientific attempt to pause biological decay at the moment of death, to keep the person intact until revival and advanced care may be possible.

At Tomorrow.bio, we understand how painful a terminal diagnosis can be. We have these conversations every day, with people who want more time, more options, or simply a choice when none are left. Our mission is not to sell certainty, but to offer clarity, and support those who want to explore every path, including the ones science is still working to create.

If this is something you want to understand better, we are here to explain every step with openness, empathy, and precision.

About Tomorrow.bio

At Tomorrow.bio we are dedicated to advancing the science of cryopreservation with the goal of giving people a second chance at life As Europe’s leading human cryopreservation provider we focus on rapid high-quality standby, stabilization and storage of terminal patients preserving them until future technologies may allow revival and treatment.

Our mission is to make human cryopreservation a reliable and accessible option for everyone We believe that no life should end because current capabilities fall short.

Our vision is a future where death is optional where people have the freedom to choose long-term preservation in the face of terminal illness or fatal injury and to awaken when science has caught upInterested in learning more or becoming a member

📧 Contact us at hello@tomorrow.bio

🌐 Visit our website www.tomorrow.bio

🤝 Schedule a call with our team Book a consultation