3 ms·

I've heard of this syndrome a number of times. I've also heard that anyone that has fatty liver disease without being an alcoholic should at least look into the

I've heard of this syndrome a number of times. I've also heard that anyone that has fatty liver disease without being an alcoholic should at least look into the possibility that the gut is producing alcohol on its own. I wonder if a fecal transplant would be a cure for Auto brewery syndrome?

arkades 7y ago
The most common cause of non-alcoholic fatty liver disease is obesity/metabolic syndrome. If someone with a BMI > 30 came in asking for a workup for auto-brewery syndrome that would be an unreasonable work-up and a waste of limited healthcare system resources as well as the patient's, unless they provided additional signs and symptoms that were suggestive of alcohol intake. In the absence of obesity/metabolic syndrome, I'd be pursuing a work-up of cholestatic injury, A1AT deficiency, and viral and autoimmune hepatitis before I start looking for auto-brewery syndrome, in the presence of isolated fatty-liver disease. I doubt fecal transplant would be curative; fungi are tenacious. It might be a more effective repopulation method than the probiotics used by the folks in the article, though. Probiotics are kind of crap, no pun intended.