Part 4/11:

To assess internal fat accumulation, several methods are discussed:

• Waist Circumference: A simple, inexpensive measure that offers a rough indication but lacks specificity because other factors can influence waist size.

• Fasting Insulin: Blood tests that require medical consultation and interpretation skills. Elevated fasting insulin indicates insulin resistance.

• ALT (Alanine Aminotransferase): A liver enzyme whose levels can hint at fatty liver. However, interpretation is complicated by changing reference ranges over recent years, reflecting the rising prevalence of fatty liver disease.

• Advanced Imaging: Techniques like MRI or elastography provide precise assessment but are costly and mostly confined to research settings.