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Non-alcoholic fatty liver: the twin of diabetes

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In an interview with Sunday Island, Prof. Anuradha Dassanayake, Consultant Physician and Professor in Pharmacology with special interest in liver disease from the Faculty of Medicine, University of Kelaniya throws light on non-alcoholic fatty liver disease (NAFLD) which is affecting almost 60% of middle aged and the elderly population and around 10% of adolescents in Sri Lanka. It is also known to be the ‘twin of diabetes’. The ‘grim and grave’ situation of NAFLD calls for recognition of it as a ‘health emergency’ today says Prof. Dassanayake

by Randima Attygalle

A precursor to cirrhosis and liver cancer, NAFLD is caused by accumulation of extra fat in liver cells that is NOT caused by alcohol. Largely triggered by fast food and lack of exercise, NAFLD is more prevalent among South Asians.

“The research confirms that even in countries such as the UK, NAFLD and cirrhosis are more common in those of South Asian origin,” explains Prof. Anuradha Dassanayake. He also says that genetic involvement of NAFLD is also notable. “Those with a family history of liver disease or liver cancer are more susceptible to develop NAFLD at a young age and they have a higher risk of developing cirrhosis by the age of 50 to 60.” Metabolic risk factors for NAFLD include cholesterol, heart disease and diabetes. Smoking and alcohol progress liver disease very rapidly.

Excess calorie intake which is accumulated as fat all over the body, leads to obesity which is a risk factor for NAFLD. This excess fat is harmful to multiple organs in the body including the brain, liver, kidney and the heart. The excessive fat however is not derived only by eating ‘fatty meals’ such as processed meat and fried food but also by excessive carbohydrates and sugar, all of which is converted to fat in the end, points out Prof. Dassanayake.

“Wherever there is fast food, NAFLD is inevitable along with diabetes and heart disease,” says the senior consultant. “While it takes about two hours for a square meal to be prepared at home, it takes just two minutes to get a fast food meal which has no fibres but fortified in calories and carbs which is a very dangerous combination.” Saturated fats and calories of fast food make permanent changes in gut microbiota by altering the ‘friendly microorganism’ (which is required for gut health) into dangerous organism. “Once such permanent change is made, it is hard to shed body fat, even if you eat very little,” Prof. Dassanayake explains. Fructose syrup which is made out of corn is also ‘deadly for the liver’ he says. “Fructose is sweeter and cheaper compared to table sugar and is often found in commercially prepared sweets and beverages.”

The sedentary lifestyle which compounded by the COVID-pandemic is likely to see a rise of increased number of NAFLD cases including children, observes the Consultant. “Lack of physical exercise, increased screen-time before computers, phones and TVs are making most children overweight or obese which is a precursor to NAFLD.” A recent study from the Central Province reveals that about 20% of the estate workers have NAFLD. This is largely attributed to their diet of all-carbs with no fibre, points out Prof. Dassanayake.

The condition which is also considered the ‘twin’ of diabetes, will lead to an epidemic of cirrhosis (the progressive phase of NAFLD where the liver is hardened) in the next 20 years, unless a global campaign declaring it a ‘healthy emergency’ is realized, warns the physician. “NAFLD is not yet found in any of the world’s non-communicable disease (NCDs) control programmes. The epidemic of cirrhosis which is predicted in the next 15 to 20 years is going to be an absolute tsunami-like disaster and worst of it is that the world is still not prepared for it.”

 

The strong link between diabetes and NAFLD is now established, points out Prof. Dassanayake. “Today Diabetes organizations world over, recommend the screening of all diabetics for NAFDL.” The physician also explains that almost all people who develop NAFDL will end up with diabetes and if it’s diagnosed early, lifestyle modifications such as healthy eating and reducing weight can reverse the condition. “Coffee is often encouraged among those with NAFDL,” he says.

A silent killer, NAFLD is mostly asymptomatic (showing no symptoms. “While a few may experience a dull pain on the right side of the stomach below the rib cage, most will not be aware until it has progressed to cirrhosis or worse, liver failure marked by swelling of legs and stomach and vomiting of blood, hence it is very sinister,” the physician warns.

Several blood tests and new tools such as the Fibro Scan can diagnose NAFLD. “If you catch it early of its onset, it can be reversed by losing 10% of the body weight. While management of NAFLD with drugs is minimal, lifestyle modification is what physicians encourage. However, if it has progressed to cirrhosis, as it happens in 10% of all people with NAFLD, there is no alternative other than a liver transplant which is a costly affair,” says Prof. Dassanayake.

Annually around 3,000 patients die of cirrhosis here at home and only about 10 transplants can be performed locally, says the physician. “This is due to lack of resources and the difficulty in finding suitable non-fatty liver donors. Only a few can afford to get a transplant overseas and the situation of a large majority is very grim. Sadly without a transplant, there is absolutely no hope for these patients.”

Debunking myths such as ‘long term diabetes drugs could cause fatty liver’ and that ‘fatty liver is harmless’ , Prof. Dassanayake reiterates that the condition is a red flag and urges people to eat healthy and watch their weight. “If you have a fatty liver at 25, you are likely to develop diabetes by 35 and suffer a heart attack by 45, such is the gravity of the condition. The good news is that unless you have a very nasty gene which triggers it, NAFLD is a preventable condition.”

Encouraging people to revert to the traditional Sri Lankan diet with moderate rice consumption, Prof. Dassanayake also calls for enhanced health literacy. “Unlike the good old days, where Sri Lankans were physically active, today many spend sedentary lives, hence they need to be conscious of their daily rice intake and also be conscious of the BMI value (Body Mass Index which articulates the ideal weight against height).



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Salman Faiz leads with vision and legacy

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At the helm - blending heritage with vision

Salman Faiz has turned his family legacy into a modern sensory empire. Educated in London, he returned to Sri Lanka with a global perspective and a refined vision, transforming the family legacy into a modern sensory powerhouse blending flavours,colours and fragrances to craft immersive sensory experiences from elegant fine fragrances to natural essential oils and offering brand offerings in Sri Lanka. Growing up in a world perfumed with possibility, Aromatic Laboratories (Pvt) Limited founded by his father he has immersed himself from an early age in the delicate alchemy of fragrances, flavours and essential oils.

Salman Faiz did not step into Aromatic Laboratories Pvt ­Limited, he stepped into a world already alive with fragrance, precision and quiet ambition. Long before he became the Chairman of this large enterprise, founded by his father M. A. Faiz and uncle M.R. Mansoor his inheritance was being shaped in laboratories perfumed with possibility and in conversations that stretched from Colombo to outside the shores of Sri Lanka, where his father forged early international ties, with the world of fine fragrance.

Growing up amidst raw materials sourced from the world’s most respected fragrance houses, Salman Faiz absorbed the discipline of formulation and the poetry of aroma almost by instinct. When Salman stepped into the role of Chairman, he expanded the company’s scope from a trusted supplier into a fully integrated sensory solution provider. The scope of operations included manufacturing of flavours, fragrances, food colours and ingredients, essential oils and bespoke formulations including cosmetic ingredients. They are also leading supplier of premium fragrances for the cosmetic,personal care and wellness sectors Soon the business boomed, and the company strengthened its international sourcing, introduced contemporary product lines and extended its footprint beyond Sri Lanka’s borders.

Where raw materials transform into refined fragrance

Salman Faiz -carrying forward a legacy

Today, Aromatic Laboratories stands as a rare example of a second generation. Sri Lankan enterprise that has retained its soul while embracing scale and sophistication. Under Salman Faiz’s leadership, the company continues to honour his father’s founding philosophy that every scent and flavour carries a memory, or story,and a human touch. He imbibed his father’s policy that success was measured not by profit alone but the care taken in creation, the relationships matured with suppliers and the trust earned by clients.

“We are one of the leading companies manufacturing fragrances, dealing with imports,exports in Sri Lanka. We customise fragrances to suit specific applications. We also source our raw materials from leading French company Roberte’t in Grasse

Following his father, for Salman even in moments of challenge, he insisted on grace over haste, quality over conveniences and long term vision over immediate reward under Salman Faiz’s stewardship the business has evolved from a trusted family enterprise into a modern sensory powerhouse.

Now the company exports globally to France, Germany, the UK, the UAE, the Maldives and collaborates with several international perfumes and introduces contemporary products that reflect both sophistication and tradition.

We are one of the leading companies. We are one of the leading companies manufacturing fine and industrial fragrance in Sri Lanka. We customise fragrances to suit specific applications said Faiz

‘We also source our raw materials from renowned companies, in Germany, France, Dubai,Germany and many others.Our connection with Robertet, a leading French parfume House in Grasse, France runs deep, my father has been working closely with the iconic French company for years, laying the foundation for the partnership, We continue even today says Faiz”

Today this business stands as a rare example of second generation Sri Lankan entrepreneurship that retains its souls while embracing scale and modernity. Every aroma, every colour and every flavour is imbued with the care, discipline, and vision passed down from father to son – a living legacy perfected under Salmon Faiz’s guidance.

By Zanita Careem

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Home coming with a vision

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Uruwela Estate team

Harini and Chanaka cultivating change

When Harini and Chanaka Mallikarachchi returned to Sri Lanka after more than ten years in the United States, it wasn’t nostalgia alone that they brought home . It was purpose.Beneath the polished resumes and strong computer science backgrounds lay something far more personal- longing to reconnect with the land, and to give back to the country that shaped their memories. From that quiet but powerful decision was born Agri Vision not just an agricultural venture but a community driven movement grounded in sustainability ,empowerment and heritage. They transform agriculture through a software product developed by Avya Technologies (Pvt Limited) Combining global expertise with a deep love for their homeland, they created a pioneering platform that empowers local farmers and introduce innovative, sustainable solutions to the country’s agri sector.

After living for many years building lives and careers in theUnited States, Harini and Chanaka felt a powerful pull back to their roots. With impressive careers in the computer and IT sector, gaining global experience and expertise yet, despite their success abroad, their hearts remained tied to Sri Lanka – connection that inspired their return where they now channel their technological know-how to advance local agriculture.

For Harini and Chanaka, the visionaries behind Agri Vision are redefining sustainable agriculture in Sri Lanka. With a passion for innovation and community impact, they have built Agri Vision into a hub for advanced agri solutions, blending global expertise with local insight.

In Sri Lanka’s evolving agricultural landscape, where sustainability and authenticity are no longer optional but essential. Harini and Chanaka are shaping a vision that is both rooted and forward looking. In the heart of Lanka’s countryside, Uruwela estate Harini and Chanaka alongside the ever inspiring sister Malathi, the trio drives Agri Vision an initiative that fuses cutting edge technology with age old agricultural wisdom. At the core of their agri philosophy lies two carefully nurtured brands artisan tea and pure cinnamon, each reflecting a commitment to quality, heritage and people.

Armed with global exposure and professional backgrounds in the technology sector,they chose to channel thier experiences into agriculture, believing that true progress begins at home.

But the story of Agri Vision is as much about relationships as it is about technology. Harini with her sharp analytical mind, ensures the operations runs seamlessly Chanaka, the strategist looks outward, connecting Agri Vision to globally best practices and Malathi is their wind behind the wings, ensures every project maintains a personal community focussed ethos. They cultivate hope, opportunity and a blueprint for a future where agriculture serves both the land and the people who depend on it .

For the trio, agriculture is not merely about cultivation, it is about connection. It is about understanding the rhythm of the land, respecting generations of farming knowledge, and that growth is shared by the communities that sustain it. This belief forms the backbone of Agro’s vision, one that places communities not only on the periphery, but at the very heart of every endeavour.

Artisan tea is a celebration of craft and origin sourced from selected growing regions and produced with meticulous attention to detail, the tea embodier purity, traceability and refinement, each leaf is carefully handled to preserve character and flavour, reflecting Sri Lanka’s enduring legacy as a world class tea origin while appealing to a new generation of conscious consumers complementing this is pure Cinnamon, a tribute to authentic Ceylon, Cinnamon. In a market saturated with substitutes, Agri vision’s commitment to genuine sourcing and ethical processing stands firm.

By working closely with cinnamon growers and adhering to traditional harvesting methods, the brands safeguards both quality and cultural heritage.

What truly distinguishes Harini and Chanake’s Agri Vision is their community approach. By building long term partnerships with smallholders. Farmers, the company ensures fair practises, skill development and sustainable livelihoods, These relationships foster trust and resilience, creating an ecosystem where farmers are valued stakeholders in the journey, not just suppliers.

Agri vision integrates sustainable practices and global quality standards without compromising authenticity. This harmony allows Artisan Tea and Pure Cinnamon to resonate beyond borders, carrying with them stories of land, people and purpose.

As the brands continue to grow Harini and Chanaka remain anchored in their founding belief that success of agriculture is by the strength of the communities nurtured along the way. In every leaf of tea and every quill of cinnamon lies a simple yet powerful vision – Agriculture with communities at heart.

By Zanita Careem

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Marriot new GM Suranga

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Suranga new G. M. at Mariott

Courtyard by Marriott Colombo has welcomed Suranga Peelikumbura as its new General Manager, ushering in a chapter defined by vision, warmth, and global sophistication.

Suranga’s story is one of both breadth and depth. Over two decades, he has carried the Marriott spirit across continents, from the shimmering luxury of The Ritz-Carlton in Doha to the refined hospitality of Ireland, and most recently to the helm of Resplendent Ceylon as Vice President of Operations. His journey reflects not only international mastery but also a devotion to Sri Lanka’s own hospitality narrative.

What distinguishes Suranga is not simply his credentials but the philosophy that guides him. “Relationships come first, whether with our associates, guests, partners, or vendors. Business may follow, but it is the strength of these connections that defines us.” It is this belief, rooted in both global perspective and local heart, that now shapes his leadership at Courtyard Colombo.

At a recent gathering of corporate leaders, travel partners, and media friends, Suranga paid tribute to outgoing General Manager Elton Hurtis, hon oring his vision and the opportunities he created for associates to flourish across the Marriott world. With deep respect for that legacy, Suranga now steps forward to elevate guest experiences, strengthen community ties, and continue the tradition of excellence that defines Courtyard Colombo.

From his beginnings at The Lanka Oberoi and Cinnamon Grand Colombo to his leadership roles at Weligama Bay Marriott and Resplendent Ceylon, Suranga’s career is a testament to both resilience and refinement. His return to Marriott is not merely a professional milestone, it is a homecoming.

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