
Karen Jerome-Zapadka
Gastroenterologist and founder/medical director of Trajectory Health Partners who applies carbohydrate-restricted and ketogenic interventions clinically to reverse metabolic dysfunction–associated steatotic liver disease.
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Mar 9, 2026 • 35min
The Hidden Metabolic Cause of Fatty Liver Disease
Dr. Karen Jerome-Zapadka, a gastroenterologist using ketogenic care to reverse metabolic liver disease, and Dr. Amy Goss, a pediatric nutrition scientist studying low-carb effects on liver fat, discuss why metabolic dysfunction drives rising fatty liver rates. They explore carbohydrate restriction, ketogenic nutrition, pediatric trials, clinical reversals, comparisons with other treatments, and practical metabolic care steps.


