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  • Fatigue
  • Weakness
  • Abdominal pain or discomfort
  • Elevated liver enzymes (as detected by blood tests)
  • Poor appetite
  • Weight loss
  • Jaundice (in rare cases)
  • Ascites (accumulation of fluid in the abdomen, in advanced cases)

Possible Causes:

  • Alcohol consumption (alcoholic fatty liver)
  • Obesity or being overweight (nonalcoholic fatty liver)
  • Insulin resistance or type 2 diabetes
  • High intake of sugar and fructose
  • High intake of saturated and trans fats
  • Rapid weight loss
  • Certain medications (e.g. corticosteroids, tamoxifen)
  • Viral hepatitis
  • Autoimmune or inherited liver disease
  • Metabolic disorders (e.g. Wilson’s disease, alpha-1 antitrypsin deficiency)
Dr. Elena Ivanina SIBO specialist in NYC

Meet Dr. Ivanina

Dr. Elena Ivanina, a quadruple board-certified integrative gastroenterologist, is committed to transforming gut health through holistic approaches. With esteemed training from Tulane University and the New York College of Osteopathic Medicine, she champions natural remedies and preventive measures. Dr. Ivanina’s journey includes pioneering research on cancer prevention and earning an MPH from Columbia University. As the former Director of Neurogastroenterology & Motility at Lenox Hill Hospital and the current Director of the Center for Integrative Gut Health, she seamlessly integrates traditional and functional medicine, advocating for dietary changes as central to gut healing. Her expertise encompasses yoga and Ayurvedic medicine, shaping tailored treatments. Through Gut Love, she empowers individuals globally, fostering proactive approaches to gut wellness.

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