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Dwarka diabetologist with 24 years of experience shares how to detect fatty liver without blood test: Cheekbones are...

Dr Brijmohan Arora explained non-invasive physical signs that can indicate fatty liver disease and insulin resistance. Find out what these signs are.

Published on: Nov 06, 2025 09:15 am IST
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Fatty liver disease and insulin resistance are a toxic duo – when fat builds up in the liver, it triggers insulin resistance, which in turn fuels further fat accumulation, inflammation, and damage. This vicious cycle can escalate to serious liver damage, like NASH (nonalcoholic steatohepatitis, a form of fatty liver disease characterised by liver inflammation and damage). Also read | Doctor shares 5 signs of fatty liver you can easily check at home: From unexplained belly fat to sudden fatigue

Physical signs indicating fatty liver disease and insulin resistance can include excessive visceral fat, skin tags, red or purple lines on the legs, a puffy face, and high blood pressure. (Twitter/AHealthyBod)

However, did you know that you could learn about your liver health and potential pre-diabetes without a blood test by examining physical signs such as visceral fat, skin tags, and high blood pressure?

In an August 3 Instagram video, Dr Brijmohan Arora, a diabetologist with over 24 years of experience, who practices in Dwarka, New Delhi, shared how he addressed a patient's concern about his liver health and potential pre-diabetes without requiring a blood test. He titled his post: 'How to detect a fatty liver without blood tests'.

In the video he posted, Dr Arora explained non-invasive physical signs that can indicate the presence of fatty liver disease and insulin resistance, conditions often linked to obesity. Key indicators that he highlighted included excessive, hard visceral fat, the presence of skin tags on the neck or armpits, visible red or purple lines on the legs, particularly near the ankles, and a significant increase in blood pressure. Dr Arora said that these physical manifestations can serve as crucial clinical clues for determining a patient's health status when laboratory tests are refused.

Dr Brijmohan Arora highlighted physical signs that can indicate fatty liver disease and insulin resistance, (Made using Gemini AI)

Dr Arora explained: “So, if your stomach is very protruding and you have a belly paunch, and especially if it is very hard, this is a dangerous sign. Meaning you have visceral fat; fat is accumulating in the stomach, inside the organs, and there is a full chance of fatty liver. If you have warts (skin growths/moles) on your neck or warts in your armpit, we call that a skin tag. This is the number one sign of insulin resistance.”

One of most important features of insulin resistance

He went on to add: “If small lines are appearing on your feet – red-coloured, purple-coloured, especially on the ankle – then this is also a sign of insulin resistance... if your cheekbones are not visible and your face has become very fat/puffy, this is also a sign of fatty liver. If your blood pressure is rising, above 140, meaning even 145, or 150, this is quite dangerous. This is one of the most important clinical features of insulin resistance.”

Note to readers: This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

This article is for informational purposes only and not a substitute for professional medical advice.

 
ABOUT THE AUTHOR
Sanya Panwar

With a keen eye for detail and a heart for storytelling, Sanya is a seasoned lifestyle journalist who has spent over a decade documenting the intersection of aesthetics and substance. Since stepping into the media world in 2012, she has cultivated a career defined by versatility, curiosity, and an unwavering passion for what makes life both beautiful and meaningful. Over the last many years, she has navigated the fast-paced realms of health, wellness, fitness and fashion while pivoting seamlessly into the nuances of decor and travel. Her work often explores the deeper layers of modern living, delving into art and decor trends that transform spaces, insightful perspectives on gender, parenting, and mental health, immersive travel narratives that capture the essence of a destination. A self-proclaimed aesthetics enthusiast, Sanya doesn't just report on trends — she analyses them. Whether she’s identifying the next shift in fitness or discovering a breakthrough in design, she uses her platform to spark meaningful conversations that resonate with a contemporary audience. Sanya is an alumna of St. Xavier’s College, Kolkata, and the Asian College of Journalism (ACJ), Chennai, where she honed the investigative rigour she brings to her lifestyle reporting today. When she isn't chasing deadlines or conducting interviews, Sanya practices what she preaches. You’ll likely find her sipping matcha, practicing yoga, or scouting the newest cafes. Above all, she finds her balance in nature — whether it's a quiet hike or a moment of reflection in the outdoors, she remains constantly inspired by the tranquillity of the natural world.

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Catch your daily dose of Fashion, Taylor Swift, Health, Festivals, Travel, Relationship, Recipe and all the other Latest Lifestyle News on Hindustan Times Website and APPs.
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