What Ramadan fasting really does to a diseased liver, and how to counsel patients safely.
Saudi Journal of GastroenterologySaudi J Gastroenterol. 2026; 32(2); pp. 93-103
Rofida Khalifa, Khalid Al-Naamani, Mohamed Elbadry, et al.
SGA Briefing
This review pulls together evidence on how the prolonged daily dry fasting of Ramadan affects liver biology — including insulin sensitivity, autophagy, gut microbiota, and inflammation — and how these effects play out across conditions from fatty liver disease to cirrhosis, liver cancer, and post-transplant care. Rather than presenting new data, it synthesizes existing findings to guide safer, culturally sensitive fasting advice for patients with liver disease.
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