A National Webinar On Awareness Programme for Liver Health

Added: 2026-05-06

[00:00:45]bit.

[00:01:14]Good morning.

[00:01:25]I send a very warm behalf of department of science in studies and research.

[00:01:37]Today's webinar and easter competition has been arranged with respect to world limiting 2026 observed annually on April 19th that focuses on the theme solid habits for women. The theme emphasizes the importance of consistent small for this day marks the founding of European Association for study of the game in 196.

[00:02:05]This global event highlights liberty prevention and health awareness as conditions often affect millions with a few early signs.

[00:02:16]In this regard, department of interate institute of studies and research has arranged this webinar on the topic keep your lingo healthy and free.

[00:02:29]Now let me welcome Dr. and Dr. Na scholar from Department of Christ to lead the session to commence this webinar with positive Fore speech.

[00:03:44]Shut down.

[00:04:06]Now I would invite Dr. Department of Sir for the welcome speech.

[00:04:15]Respected dignitaries, honorable speaker, faculty members and dear participants, a warm, a very warm and pleasant morning to everyone joining us today. On behalf of the department of Institute of Studies and Research. It's my privilege to welcome you all to this national webinar on location of world liver day focusing on liver health and discomfort associated with liver diseases. I would like to begin by expressing our sincere gratitude to CM University for their constant support and providing us with this valable academic platform. Extend my heart.

[00:04:54]Welcome to our respected patrol engineer whose visionary leadership continues to inspire us. I warmly welcome for her constant support and encouragement. I also extend my respectful welcome to Dr. guidance and mentorship. It's my great pleasure to extend warm welcome to our esteemed speaker.

[00:05:20]We are truly honored by your presence today. My sincere welcome to all faculty members, organizing committee members and the technical team for their dedicated efforts and a special welcome to all participants and dear students who have joined us. Your presence makes this webinar meaningful and successful.

[00:05:38]I'm confident that today's session will be highly informative and enriching for all of us. Once again, I welcome you all and wish you a very engaging and fruitful webinar.

[00:05:49]Thank you so much.

[00:05:52]I would invite Dr. Associate Professor Department of Pizza for briefing the objectives and enlighten us regarding importance of liver and thank you Dr. M.

[00:06:09]So we know that classical text has not described or disorders disorders are explained under systemic condition like so that is deeply connected and overall metabolic.

[00:06:33]So prevention of liver disorders begin with maintaining balance of as well as so by following a proper diet lifestyle modification like adequate sleep regular exercise and abstinence from alcohol are essential for maintaining this.

[00:06:54]So let me conclude that a healthy liver requires a holistic approach integrating proper dieting lifestyle and following principles.

[00:07:07]the health of their thank you so much ma'am. Now it's time to welcome our guest speaker Dr. Aboli man with an introductory speech by Dr. Associate Professor Department of Science.

[00:07:25]Good morning everyone. It is my honor to introduce our speaker Dr. A distinguished academic ministry.

[00:07:37]Currently she has role of an exod of department of science and medical suppl and he is having 30 years of teaching experience and they have become a cornerstone of clinical relationship in their background is extensive and distinguished PhD in commerce India and founded university in 2008 and conducted scientific IP and in 2012 and our speaker had mentioned the next generational partners with 10 PhD studenting as a two PhD student and an accomplished researcher and they have completed the three extra fun and welcome research project in national and international indust And please join me with my scher and practitioner who continue to shape the future of I am welcome to start the session.

[00:09:04]Please start my >> Hello.

[00:09:23]>> Is it audible ma'am?

[00:09:27]>> Yes.

[00:09:29]>> Yeah.

[00:09:31]>> Yes. Yeah.

[00:09:45]What's that?

[00:10:35]Is full screen.

[00:10:53]>> Okay, ma'am.

[00:11:02]>> Okay.

[00:11:04]Okay ma'am.

[00:11:05]>> A very good morning to all the respected dignitaries, respected teachers and my dear participants for today's webinar.

[00:11:14]First I would like to congratulate department of KYA GJ Patel Institute of Vetic Studies and Research for organizing a national webinar on the occasion of World Liber Day that was celebrated on 19th of April every year to create awareness first amongst the students about the liver health the preventive measures and the diseases which are occurring where very frequently in the society. But first our students should be encouraged to uh take preventive measures about the liver disease.

[00:11:50]So the topic for the today's webinar is uh metabolic dysfunction associated styotic limo disease that is MS2.

[00:12:04]So this is the outline for the today's presentation. Significance of the day.

[00:12:08]Introduction to the stadotic fever disease. Criteria for MSLDPathogenesis.

[00:12:14]Clinical features. Investigations.

[00:12:16]Management and its VA correlation along with the management.

[00:12:23]First coming to the significance of the world liver day. European Association of the Study of the Liver that is EASL that is established in 1966 which is a body in liver education as well as in research. The CAS has officially establishes world day in 2010 annually at 19th of April as onethird of the global adult population is living with the condition MSLD and other steroidic liver disease. 2 million leaves are lost each year due to the liver disease and 1.5 million people are suffering from the chronic liver disease. So this is the response of the ESA to create awareness amongst the society to take preventive measures for the liver diseases.

[00:13:20]This is the prevalence of the MSLD and other liver diseases. In future it has been forecasted that prevalence of MSN will reach up to 50 will reach up to 55% globally by the year 2014.

[00:13:45]The theme for the this year 2026 world deliver day was solid habits strong liver which emphasizes the 90% of the liver diseases are preventable. So the preventive measures should be incorporated in the society. So the awareness should be done. The four bricks of this uh campaign are balanced plantbased diet and sh this contains the overall emphasis was given on the vegetarian diet containing whole grains, proteins and foods. Sharp reduction in ultrarocessed foods and hidden sugars which are the primary drivers for hippatic fat accumulation as thetosis emphasizes on the fat accumulation in the liver. Then the second brick was physical activity. Regular and moderate exercise like 30 minutes work help to burn the body fat more efficiently which can ultimately reduce the deeper fat.

[00:14:47]Then re-evaluating alcohol.

[00:14:51]Say no to alcohol as there is no safe level for the alcohol as I has also emphasized that consumption of mud that should be done according to the season and according to but today in today's life some people are addicted to alcohol so directly say no to alcohol to prevent the liver diseases. Okay routine feeding as the liver doesn't complain about anything.

[00:15:20]So the regular blood test and fibro scan that are essential for the early prevention or early diagnosis of the liver diseases mostly in the patients suffering with comorbid conditions.

[00:15:36]Roughly the liver diseases are classified as alcoholic fatty liver disease and non-alcoholic fatty liver diseases. Initially the term was NFT but in June 2023 the NFT has been replaced by MST that is metabolic dysfunction associated steroic liver disease as only alcohol is not a factor or conditions causing stattoic liver disease. The other metabolic dysfunctions are also responsible for the uh liver diseases.

[00:16:10]So considering these other factors the term was replaced by MSH and the term NH that is non-alcoholic state of hepatitis that is replaced by MASH that is metabolic dysfunction associated stat of hepatitis. So what is metabolic dysfunction? Metabolic dysfunction is a abnormal chemical reaction that happens in the body which disturbs your metabolism that is your energy production regulation as well as storage and which results into the obesity insulin resistance hypertensions and other metabolic syndromes.

[00:16:51]So coming to first we will go with what is steotic liver disease. As I said earlier stattosis means accumulation of fat. So these SLDs are associated with ALD that is alcohol associated liver disease that may be associated with secondary physiology maybe specific pathologies drug induced nutritional or genetics. Some are cryptogenic and no any identifiable cause has been shared.

[00:17:22]Then metal that is metabolic and alcohol associated liver disease that means MSD along with alcohol associated liver disease.

[00:17:34]Then MSD MS can be associated with one or more cardium metab factors such as overweight that is BMI more than or equal to 25 obesity in which BMI more than or equal to 30, blood pressure more than 130 by 85, triglycerides more than 150, plasma HDL less than 40 and fasting sugar glucose more than 100.

[00:18:05]So any of the these things one one of the cardio metabolic risk factor is associated with MST.

[00:18:15]So definition it is defined as a presence of hypatic steattosis with one or more cardometabolic risk factors with no other identifical cause of steosis.

[00:18:29]The MSL the name itself suggest what is the Pathogenesis behind this image where M stands for metabolic dysfunction. This leads to obesity, insulin resistance and type 2 diabetes mal hypertension disease. Then stand for adequin inflammatory signals because of the oxidative stress released to hypatic injury and further may uh may be the healthy liver tissue by the fibroic treatments. Then stereosis and fibrosis that is fat accumulation and fibrosis linky gut and microbiota gut is pipiosis and disease progression and cardiovascular may further gives rise to atherosclerosis and cardiovascular mortality we are all aware about the risk factors that are obesity diabetes sleepmia, metabolic syndrome, hypertension, hypotarism, PCOD, obstructive sleep because of some drugs like methotric, acid, glucotic, some nutritional deficiencies, kinesia and genetic factors.

[00:19:55]Here we can see other positive factors like fast food.

[00:20:01]Then sedentary lifestyle, alcohol addiction and excess of stress.

[00:20:16]So uh how what are the stages of MSD?

[00:20:20]How the disease progresses step by step?

[00:20:23]Initially a healthy liver which contains less than 5% of the fat fat in the liver cells but gradually the fat deposition start because of the ideological factors and that exceeds to more than 5% and leads to steosis that is again it progresses into the mash without fibrosis that is metabolic dysfunction associated stippatitis stereotis steosis along with the inflammation of the liver cells which leads to ballooning of the cells. Then it gives birth to fibrosis in the later stage that is diatrosis along with inflammation and fibrosis of grade 1 to three. Then it further progresses to cerosis and in the later stage it goes to the cellular carova.

[00:21:33]Here is a small presentation for uh the understanding of the pathology of the disease because of the dietic factor that is physical in negativity. We know all the fast food type carbonated drinks and the other positive factors leads to weight gain. This weight gain or increased obesity and overweight leads to increased visceral adiposity.

[00:21:59]Increased central and peripheral insulin resistance which further lead to type 2 diabetes and increase in the free fatty acids which can deposit into the liver.

[00:22:14]Then in the liver also it increases the lipo genesis that means excessive production of lipids instead of their destruction. So the lips level also increases and then get inated at the site of the skin. Then because of the endopplasmic reticulum stress and ROS reactive oxygen spaces generation because of the oxidative stress it leads to the liver cell injury. If the copper cells get injured then that leads to release of cytoines inflammatory medals and further leading to hippatics and because of the states still activations that leads to excess production of fibros. The healing may take place with the help of fibers and leads to fibrosis of the Then coming to the clinical features most of the patients are asytomatic that's why the routine health checkup are very much important in the liver diseases. Most of the times the liver disorders are diagnosed accidentally while bringing out the or during the checkup of other dises. So most of the patients are postyatic. Some present with right upper quant abdominal pain. The liver disorders common symptoms may exist in the patient like fatigue, males. You may feel me.

[00:23:54]Then if the chronicity has then science of liver disases like me and most of the patients are associated with diabetes malitis, obesity, misipidmia, cardiovascular diseases and metabolic syndrome. So what is metabolic syndrome? We know which is correlates with the cardiovascular diseases, NFD, inflammation, cancer, chronic kidney diseases, insulin resistance and obesity. These all conditions includes under the diabotic syndrome.

[00:24:38]What are the complications of ASV? The major complication of the MSV is increased cardiovascular risk. It has been uh surveyed that most of the liver disease patients bleed to death because of the cardiovascular complication rather than the liver diseases because it increases the hyperagulability.

[00:25:06]Lipid deposition leads to atherosclerosis of the vessels and endothelial damage. So it leads to How to evaluate the patient suffering from MS? First history taking about the anthropometric we know from the comorbid condition. If the patient is suffering from diabetes, menitis, hypertension or history of the medications, family history because genetic factor is also plays as important role in the liver disorders. So family history should be asked. Then use of alcohol this is the very much important point. Then coming to the physical examination. During physical examination we can observe mechanism spome we should evaluate the body fat distribution to or to know about that type of then features of insulin resistance can be evaluated of this test then laboratory test which states should be carried out is the first choice function test which shows The elevation of the AL and AS serum varing can be evaluated serum V alum from time that are usually normal except in the patients of cerosis. These factors should be evaluated like BMI diabetes malitis lipid profile thyroid function taste and tissue serum and betic ion levels to rule out hemogramosis.

[00:26:50]serum labor of cereoplasm out disase and anti these are the some noninvasive test initially we should go with laboratorical investigations after that we go with noninvasive test that is the common in non-invasive test is ultra of the which detects fatty li and but for the more specific quantification of percentage of fat deposits patient should be advised to do CT scan and of the abdom then elastography to assess the stiffness and the fibrosis of the fibro scan and fibrosis for scale. This is the fibro scans for in which 2.5 to 7.4 are no or fibrosis and this increases gradually.

[00:27:59]This is a noninvasive method and the last is invasive test that is bias that is of old standard but this is but first taking the laboratory investigation on invasive test and then invasive test to confirm the diagnosis then treatment of the MS as MS has many components.

[00:28:29]So the treatment of MSAD has been divided into three parts that the specific treatment of MS treatment of MSLD associated with coorbid condition and the treatment of its obligations.

[00:28:45]So the management emphasizes on the diet and exercise theapy, diabetes management, hypertension management, dysipidemia management, biatric surgery in the obese person and nea transplantation that is the last option.

[00:29:06]So first diet and exercise as liver diseases are preventable. So we should make awareness in the society that diet and exercise are the very much important for the health. So reduce the sedentary lifestyle. Increase physical activities. Weight loss 3 to 5% can improve stereatosis and seven more than 7 to 10% of weight loss over 6 months can improve the stroitis.

[00:29:40]low carbohydrates and low fat. Increase polyunsaturated fatty acids like omega3 and omega6 which are found in nuts and seeds like sunflower flax seeds. So increase the consumption of unsaturated fatty acids increase the consumption of fibers. Then intermittent fasting and that are also indicated in so intermittent fasting that can reduce the fat deposits in the then avoid alcohol regular exercise medications as the uh comorbid conditions are also treated along with the liver diseases. So the medications for the comorbid conditions like for diabetes for hypertension that should be continued along with the other medication then use of antioxidants use of polyunsaturated fatty acids and use of statins to treat the dispute.

[00:30:52]Here I am not going in the details of the management as the management of comorbid conditions. We know the management about the different different diseases. So here I am not taking much time and emphasize on the management of that conditions.

[00:31:10]Then lifestyle recommendation. This is the very much important for the people with MS. People with MSD those are overweight or obese they should be reduce their body weight more than or increase 5%. Reduce the fat then reduction is 7 to 10% improve liver inflammation and reduction of more than 10% improve the fibrosis. Then beriatric surgery for the patients who have suffered a obesity.

[00:31:46]Diet as we know and previously we have seen the consumption of fruits, vegetables, nuts, olive oil, unprocessed poultry and fish. Limit the consumption of processed food and saturated fats. Avoid sugar and increase daily physical activity.

[00:32:10]So from the ministry of Aayush they have released some dos and don'ts on the day of world yoga day. So in the D they have indicated the use of adraa leaf and fruit of unar like amalaki daring daksha papaya uh nuclear then leaves of that and of the don't avoid fat reach heavy dudestide contamination excessive redemption of alcohol and excessive exercise.

[00:32:53]Then coming to the ayurveda perspective of the MACD or overall liver diseases as the liver disases or the MAD is not directly enlisted in the Ayurveda classics but it can be included under the broad of central valley as the curve is occurred in the liver that is yakura.

[00:33:23]So all the types of yaka vikaras yak yaka that can also be included under the mating but that can be only a single entity. You consider the overall metabolic syndrome and metabolic dysfunction. The saroda values can be more precisely with MS as the value as this is a broad spectrum.

[00:34:04]So we can correlate it with this entity.

[00:34:10]So what are the nidas of sar panoda weather achara has explained it very well in the in the 23rd of chakra This word is very much from today we are not leaving all the things but excess consumption of all the things should be avoided. So we should convince the patient that we should they should reduce the frequency of such type of that is okay then after they have elaborated This indicates the lack of physical activity and lifestyles leads to excess or over nutrition of the tissues at center of the body.

[00:35:42]Then this is the flowchart for the pathogenesis. As I have already said this cannot be completely correlated with any disase entity. This can be categorized under the along the value.

[00:35:55]So considering all the disase entities we can roughly draw the pathogenesis as because of a dushi is very important as we all know.

[00:36:11]So the dust first and then this excess leads to m and production of this arm is produced and this leads to the sto as well as initiation of buffer. This a blocks the chakras and people.

[00:36:39]So where as per the this issa so according to the vitation in the DSA the disase will occur in the spect shoulder as so here the mainly occurs at the side of the temple. because of the ideological factor. So if the is in the then it is then and if it is in the braha and as we know the liver is a sight of soi that are also important that isana That food which we are consuming is spicy food excessive spicy. then stale food right all this comes under the so it leads to the then because of the ideological factor of physical activity.

[00:38:33]Excessive consumption of fat.

[00:38:39]Excessive consumption of the alcohol which lead to the and this tushi asa and both are both are revolving in the body with each other. So this dushi leads to the further dushi.

[00:39:11]Soya that is uh digestive fire and metabolic fire plays the important role. This leads to the mandly which leads to the improper formation of So this improper formation of leads to summ and it creates the susceptibility for the fat requ that plays a vital role in the srai along with the pitha as it is the pithasan but as the disease progresses as the chronicity happens one may also get involved and in the more severe cases it damages the tissue and leads to fibrosis.

[00:40:20]These are the obvious specifically and power.

[00:40:52]Coming to the chicken sack of So in the center the first line of treatment is the emphasizes the individualized treatment plan.

[00:41:36]By observing all the factors associated that isala and viola we should go with either shamaniksa or shhanikita. If the rubal is better and viola is also more the vagua is happened in the rugana then in the babhu dsha you can pag mostly and which are the best west best for the Then all these factors as well as people and leads to proper channelization of the so these are the common treatment.

[00:42:43]principles.

[00:42:53]We know all these to avoid all theological factors.

[00:43:01]correction like and among the can be incorporated into disorders like lamana and but as I said earlier We should take in about the and then we need to decide whether we should go with shamana or shogan.

[00:43:40]Here I have enlisted some useful drugs that can be helpful in the MSI chitra taruharitrafa.

[00:44:01]These are only some examples I have given but according to the involvement of dsha sasu you have to select the specific drug right these drugs are mostly acting on the yakaras and pick the but according to the condition we should decide the we should do the or the patient These are some of the classical formulations that can boost in the patients like this is the first of choice.

[00:45:00]and as these drugs are acting on the metabolism.

[00:45:07]Here we should focus on the metabolism that is combination of anabolism and catabolism. So to improve the metabolism we should improve the if the is proper then the formation of the next will will make ultimately healthier. So these drugs can be used in the patient.

[00:45:34]Then according to Lasha Shira as Shiraas has been recommended as a daily. So Rita and Shira can be incorporated in the liver disorders. But as the patients are suffering from dysipidemia also. So we should emphasize to take coke root and that should be in a uh limited quantity because it contains unsaturated fatty acids and saturated fatty acids but that are low in fats.

[00:46:27]Then healthy habits can be followed. has emphasized is the first uh aim of the if we go with these habits healthy habits then the disease will not occur easily. So the most awareness will be created in the society about following the and that is a nitra and these are the healthy habits that should be followed in the eating routine.

[00:47:17]So being a students we should make awareness in the society regarding these healthy habits so that liver diseases can be prevented only avoiding the fast foods or carbonated drinks that cannot be the solution for the prevention but incorporate the healthy habits in daily routine.

[00:47:45]Then coming to what should be avoided like cheese paneer like products then bakery products stale food and fast food that all comes under the what should be avoided.

[00:48:19]So coming to the second last slide as the word liver day emphasizes on solid habits for strong liver small challenges today strong liver tomorrow. So they have given some guidelines to eat healthy, stay active, never help, get vaccinated as heis B and he C that can be the ideological factors for many. So timely vaccination of hepatitis B is very much important. Maintain healthy bed to reduce the chances of obesity.

[00:48:58]regular checkup to uh screen the patients on time and sleep. Yes.

[00:49:12]So on this world deliver day take a step towards better health. It helps you stay active and get regular checks.

[00:49:26]Thank you.

[00:49:28]I would like to express my gratitude towards president and chairman Patel sir chairperson Dr. Sika madam co-chairperson Dr. Reserve organizing secretaries of the GJ Patel Institute of Ayurvedic Studies and Research for giving me this opportunity to share my knowledge and use regarding MSD and liver disorders with the students and I'm also thankful to all the participants for the patients listening and uh actively participation in the webinar. Thank you. one.

[00:50:11]>> Thank you so much, ma'am. Uh there's a little question from our spectators.

[00:50:20]>> Go ahead.

[00:50:22]>> Uh can there's a question from our spectators?

[00:50:28]>> Am I audible ma'am?

[00:50:29]>> Yes. Yes. You can please go ahead.

[00:50:32]>> Yes ma'am. Uh in contemporary medicine the doctors would uh recommend here and died right. How can we justify that we need to avoid directly in?

[00:50:46]>> Yes.

[00:50:49]>> Uh that is a good question. As I have uh told to avoid cheese and paneer uh modern medicine emphasizes all the nutritional values of the food, right?

[00:51:02]Because paneer is a rich source of proteins. According to the modern dieticians and science. But if we go through the process of the formation of paneer, what we do? We take a milk and add any sore uh any lemon or any sore product into it and then the paneer has been formed. So this this is going with the vira as dupta has been combined with amlas.

[00:51:33]So dupta and combination comes under the category of vir. So and vira should be avoided. So paneer should be avoided.

[00:51:43]I'm not I'm not saying from tomorrow you should avoid paneer total but yes you should reduce the frequency of consumption of those products. If we recommend a patient to skip all these types of food then patient will not come to room for the next visit that you are avoiding all the food that the patient likes. But you should convince them that first reduce the frequency quantity then you can avoid it and it is not as harmful. If you consume the paneer once in a month or twice in a month then that will not be that much harmful. If your ai is proper so ai bala is also important while consuming such type of foods. Okay.

[00:52:37]>> Thank you so much for such anformative lecture.

[00:52:43]>> Uh thank you for enlighting us with your valuable andformative prospects regarding this topic. Now I will take Dr. for namaste and good morning to one and all I Dr. on behalf of department of science institute of studies and research feel truly honored to deliver a w of thanks for today's webinar first and foremost I express my sincere gratitude to our respected patent engineer who by chairman and president of university for his uh for his constant inspiration and and my heartful thank to our esteemed speaker professor Dr. a particle man for her informative and insightful session and for sparing her valuable time from her busy schedule to guide us through it. Thank you ma'am. I also extend my sincere thanks to our principal ma'am professor Dr. Sita and our sir Dr. Kendra sir for her for their continuous guidance and support. A special thanks to all faculty EGMUG students and technical staff for support and teamwork in making the webinar success. Lastly, I thank all participant for their active involvement and meaningful present which added a great value to our today's event. Thank you very much and have a nice day. Here we continue today's session. Thank you and goodbye. Our next