In Bhubaneswar, liver specialists convened under India's national hepatology body to draft the country's first comprehensive prevention guidelines for a disease quietly affecting one in three Indians — metabolic dysfunction-associated steatotic liver disease, or MASLD. Once known as non-alcoholic fatty liver disease, it is no longer a condition of the elderly or the affluent; it is appearing with troubling speed in children and young adults. The guidelines represent a collective recognition that the path forward runs not through hospitals alone, but through kitchens, classrooms, communities, a