Fatty liver disease is becoming increasingly common—but liver damage can develop quietly, sometimes before obvious symptoms or abnormal liver enzymes appear. Today we welcome Dr. Mike Smith, MD from Life Extension to break down liver health, fatty liver disease, nonalcoholic fatty liver disease (NAFLD), metabolic dysfunction-associated steatotic liver disease (MASLD), cirrhosis, liver inflammation, and the everyday factors that may be putting additional stress on your liver.

If you've ever wondered about the symptoms of fatty liver disease, whether fatty liver can be reversed, what causes nonalcoholic fatty liver disease, how MASLD develops, how fatty liver progresses toward cirrhosis, or what you can do today to better protect your liver, this episode is your deep dive into one of the body's most important—and often overlooked—organs.

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00:00 – Can Liver Damage Happen With Normal Liver Enzymes?

02:34 – Why Fatty Liver Disease Is Becoming So Common

05:15 – What Your Liver Actually Does Every Day

07:24 – How Food Travels From Your Gut to Your Liver

09:32 – Is Modern Life Overloading the Liver?

10:50 – Excess Calories, Visceral Fat & Fatty Liver Disease

12:22 – Sugar, Fructose & Nonalcoholic Fatty Liver Disease

15:29 – Alcohol and Liver Damage Explained

18:04 – Hangover Supplements, Glutathione & NAC

24:09 – Environmental Toxins and Liver Health

27:50 – Pesticides, Soil Depletion & Our Food Supply

30:47 – How Fatty Liver Progresses to Cirrhosis

33:27 – NAFLD, NASH & the Stages of Fatty Liver Disease

34:42 – Can You Reverse Fatty Liver Disease?

35:25 – The Silent Symptoms of Liver Dysfunction

36:22 – Can You Have Fatty Liver With Normal Liver Enzymes?

38:36 – Testing and Screening for Liver Disease

39:20 – Why Liver Enzymes Don't Tell the Whole Story

40:11 – Ultrasound and Diagnosing Fatty Liver

41:14 – Magnesium and Liver Health

42:13 – Best Supplements for Supporting Liver Health

44:06 – Magnesium L-Threonate, Brain Health & the Liver

45:20 – Why Our Food May Be Magnesium Deficient

49:07 – Can Magnesium Improve Fatty Liver?

50:27 – Foods That Support a Healthy Liver

51:48 – Practical Ways to Protect Your Liver

52:49 – The Most Important Liver Health Takeaways

55:20 – How to Live "Forever-ish"

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Episode resources:

• Try Life Extension and save $10 on orders of $50 or more plus free shipping with code CHASE10 when you visit https://www.LifeExtension.com/chase10
• http://lifeextension.com/chase10labs
• Life Extension @lifeextensionwellness
• #AgeWellLE

Thank you to Life Extension for sponsoring this episode

Disclaimer: This episode is for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always discuss personal medical concerns, testing and supplementation with your qualified healthcare provider. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

Most relationships don't end because of one catastrophic moment—they die by a thousand cuts. Relationship therapist Kristina Ferrari joins Chase to challenge conventional ideas about love, marriage, communication, masculinity, femininity, intimacy, and therapy, explaining why unresolved patterns and nervous system dysregulation often sit underneath what couples call "communication problems." Drawing from her clinical work and the lessons of her own 30-year marriage and divorce, Kristina breaks down why women can weaponize emotional language, how men miss subtle warning signs that their partner is pulling away, what happens when a woman loses respect for a man, why marriage should be viewed as the beginning rather than the finish line, and how resentment can slowly destroy attraction and sex. They also explore masculine-feminine polarity, modern therapy, accountability, responsive desire, sexless relationships, raising resilient sons, and what both men and women must do differently to build relationships that are more than simply "fine."

Follow Kristina @kristina.s.ferrari

Follow Chase @chase_chewning

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00:00 – Why Should You Take Relationship Advice From Someone Who Got Divorced?

04:42 – Doing the Work and Still Getting Divorced

05:26 – Has Modern Therapy Become Professional Hand-Holding?

09:06 – Your Relationship Is a Mirror

10:55 – Your Feelings vs. the Story You Tell Yourself

12:34 – Are Your Feelings Lying to You?

13:28 – The Nervous-System Test to Use Before You Speak

14:58 – Why Communication Isn't Actually the Problem

16:33 – How Many Couples Actually Have Great Relationships?

17:43 – When Your Relationship Is Just "Fine"

20:06 – The Biggest Relationship Red Flag You're Ignoring

20:45 – Is Never Fighting Actually Healthy?

21:45 – Stop Trying to Turn Your Partner Into Someone They're Not

23:22 – Divorcing Someone You Still Love

24:33 – Are Women Getting Relationships Wrong Too?

25:12 – Emotional Language vs. Emotional Intelligence

26:10 – How Women Can Weaponize Their Emotions

28:02 – The "Receipt" Test for Relationship Conflict

30:00 – Do Men and Women Need Different Kinds of Accountability?

32:02 – What's Wrong With Modern Therapy?

34:00 – Therapy, Resilience and Raising Stronger Kids

35:21 – Respecting Your Partner's Role as a Father

36:18 – What Happens When a Woman Loses Respect for a Man

38:20 – Raising Resilient Sons

40:18 – Can a Man Regain a Woman's Respect?\

41:16 – Masculine and Feminine Polarity

42:52 – Why Men Need a Strong Spine and an Open Heart\

44:35 – Kristina's 1–10 Nervous-System Regulation Rule

46:28 – Masculine Structure and the Feminine "Storm"

48:18 – Is Emotional Intelligence Becoming a Status Symbol?

51:09 – Weaponizing Therapy and Spiritual Language

52:24 – What's Broken About Couples Therapy?

54:30 – Why Kristina Goes Harder on Women First\

55:10 – The 100/100 Relationship Model

56:46 – Why Good Therapy Should Push Your Edge

57:58 – Five Warning Signs She's Pulling Away

59:45 – Why Men Feel Blindsided When Women Leave

1:00:24 – Marriage Is NOT the Finish Line

1:01:20 – How Relationships Die by a Thousand Cuts

1:03:02 – The Warning Signs Women Give Men for Years

1:04:41 – The Laundry Basket Theory

1:06:27 – When Your Wife Starts Feeling Like Your Mother

1:07:18 – The Biggest Sexual Red Flags in Relationships

1:08:07 – Why Sexual Novelty Disappears

1:09:29 – Should You Have Sex When You're "Not in the Mood"?

1:10:42 – The Small Rejection That Says More Than You Think

1:11:56 – The Biggest Mistake Men Make Initiating Sex

1:12:41 – What Are You Doing at 2 PM to Create Sex at 8 PM?

1:12:57 – Men's Relationship Rapid Fire

1:14:21 – What Every Father Should Tell His Son

1:14:41 – What Every Son Wishes He Heard From His Father

1:15:01 – Kristina's Definition of Ever Forward

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Episode resources:

• Save an additonal 15% on C15:0 essential fatty acids with code EVERFORWARD at https://www.Fatty15.com/everforward
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