Fat accumulation and increased fatty acid turnover can cause the liver to convert excess fatty acids into glucose, contributing to metabolic dysfunction.

“but in January I think the fat that comes into the system first then it starts turning over fatty acids like we talked about before these go through the poor section circulation to the liver all this stuff just starts showing up and the liver starts saying fine I just have to start turning this stuff into glucose and that's kind of that's that's where the whole the whole thing starts”