Dr. Yousef Elyaman

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46 appearances 1 recordings 1 series first heard Apr 2025 last heard Apr 2025

Dr. Yousef Elyaman’s voice in public audio — every appearance, attributed to the second.

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The Dr. Hyman Show · Fatty Liver Is the New Smoking—And 90 Million Americans Have It · 7 Apr 2025 podcast
The liver is supposed to metabolize estrogen. So now you can't metabolize estrogen. Estrogen goes up. Progesterone goes down. Women start to have infertility issues. Infertility is big. They start to have mood issues. They start storing more weight. And men. Men start to have that estrogen effect. It blocks their testosterone. And it's kind of this, it just, it affects everything.
No, it's not. Well, I'll tell you, now that we have technology, non-invasive, easily accessible technology to take a look at the liver, when we tell people that their liver has fat in it or there's an issue with their liver, I have not seen a more motivating driver of change. As a matter of fact, when I see liver enzymes being up,
I had a patient who I talked to her about, she had elevated liver enzymes. I said, I want to take a look at your liver. I sent her to do this test, it's called a fibrous scan. Before she came back, she had lost, she stopped drinking alcohol and she had lost 20 pounds. Amazing. Yeah, it came back, her liver was fine.
But what happened, when people hear that their liver, there's a problem with their liver for some reason, it creates that motivation. Yeah. Which I can tell them, hey, you're gonna die of a heart attack and it doesn't,
Right, yeah, we could put them in, we can post them in the- In the show notes. Heart attack, yeah, yeah, we could put them in the show notes, the percentages.
Right, and going, so in the conventional realm, unfortunately, we try to look at the disease kind of in a vacuum, right? Okay, so you have fatty liver. So what can fatty liver do? Well, the liver can start getting inflamed and then it can start to turn into fibrosis or hardening and then you can get cirrhosis, right? And nobody wants liver cirrhosis, right?
Most people know that liver cirrhosis is a bad thing and then you can also get liver cancer. But like you just mentioned, they have more of a chance of dying of a heart attack. than of the liver cirrhosis when they have fatty liver. So I think that's what you were alluding to. But I think the beautiful thing, and I'm so fortunate or grateful that I found functional medicine because,
We don't look at fatty liver as a disease in itself. We say there is a process that is happening. Part of a syndrome that's happening. Part of a syndrome. And everybody is unique on what's causing it. Because some people, it's insulin resistance. Some people are eating lots of the way that their body deals with fructose. They start to increase uric acid. And it's the uric acid that is driving it.
Where other people can have thyroid dysfunction that's causing it. And others could have an issue with, can have an issue with bad bacteria in the gut. So other people have a iron overload that is causing it. And others were exposed to different toxins. And it's probably a combination of multiple things.
Right, right, it's a prebiotic. Lactulose is a prebiotic, so you're feeding the good bacteria. So we were manipulating the microbiome, and we thought we were just making them poop. And it was amazing. It would take them out of that hepatic encephalopathy.
And actually it changed that. So they first went to metabolic associated liver disease. Then they changed it again because they... Yeah, whoever they are, the big panels. Actually, multiple panels got together and they talked to patients. But I think we should talk about that story a little bit, right?
So non-alcoholic fatty liver disease was basically you're naming a condition by saying what it was not. It's not alcoholic. It was kind of weird anyway. Even though that it was called non-alcoholic fatty liver disease, people associated with alcohol. Because alcohol was in the name, and they have to explain it to their family. No, I'm telling you, it's non-alcoholic. So you had that negative.
And then the fatty had a stigma, so they changed it to metabolic-associated or metabolic dysfunction-associated fatty liver disease. But then they changed it again because they're like, Fatty is stigmatizing, so we want fat out of it. So now it's metabolic dysfunction associated steatic, which means fat, liver disease. No, steatic, liver disease.
So now you took everything out that anybody could understand.
Right, right, but now they don't get shamed as much.
Yeah, yeah, it's fancy, it's fancy. Whatever. So...
Now it's called mazzled. Mazzled, mazzled.
Okay, so you go to a traditional hepatologist. It's a liver specialist. A liver specialist. They see the patient, they tell the patient you have fatty liver disease, go ahead and try to lose weight, right? They may give them vitamin E, probably are gonna give them the wrong kind of vitamin E, because we know that there's different forms of vitamin E.
And then, if you're lucky, many will say, no, don't stay away from vitamin E. And then they see if you're bad enough to be enrolled in a study. And if you are, then they'll put you on a drug, right?
There is one now. We just, in March, we have one called Resmediram. And we should probably unpackage that later because there's implication. But yes, so there's finally one drug. It costs only $4,000 a month. Is that it? Yeah, that's it. And it can cause all kinds of side effects as well. Great. But that being said, it's all about getting them, okay, we have a disease. We named it, right?
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