 Namaste. I am Dr. A. Sharda here. Namaste. I am Dr. Priya Chinappa. We are both from the Department of Endocrinology and Diabetes from Manipal Hospital, Millers Road. I am moving on from obesity. One of the effects it has, obesity, is the fatty liver. So, what is your experience in patients who are having diabetes with liver disease, especially fatty liver? Yeah, I think that's the new epidemic, isn't it, this fatty liver? Because when we see patients who come with a routine health checkup, their master health checkup, a lot of patients are reported to have fatty liver and it is said that about 20-50% of our diabetic patients in India actually have this fatty liver. That's a huge number, you know. So, how do you manage these patients? Yes, so in the beginning we look at their ultrasound findings and the blood test, the ALT is frequently elevated. Some patients may not have abnormal liver function tests, though they have fatty liver on the ultrasound. Now, initially, weight loss is very effective. At least a 5% weight loss if patients are able to achieve, they can be reassessed after 3 months and a lot of the fatty liver is reversed. Now, some patients unfortunately are not able to achieve it and they go on to develop inflammation and fibrosis which can progress to cirrhosis. Apparently, this is the most common cause of end-stage liver disease worldwide. This is non-alcoholic liver disease or fatty liver and these patients are also obviously advised to abstain from alcohol and if they have diabetes, we control them with the usual medications that we have just discussed. Only when they go into end-stage liver disease, then we need to stop the medications and put them on insulin.