#12: Persistent Unexplained Fatigue

Meet Sarah, 58, napping unexpectedly. Rest didn’t refresh; liver strain emerged as cause.

Toxins buildup may sap energy. Common yet weird early flag.
#11: Intense Itchy Skin Without Rash

Tom, 60, scratched arms relentlessly at night. Bile salts irritated nerves.

Pruritus affects many with cholestasis.
#10: Dark Urine Like Cola
Lisa, 55, noticed tea-colored streams. Bilirubin spillover hinted trouble.

Classic yet overlooked clue.
#9: Easy Bruising or Bleeding

Emily, 57, bruised from minor touches. Clotting factors reduced.

Liver produces proteins essential for coagulation.