This study aims to identify the effect of adding TENS to the Mediterranean diet on appetite and liver enzymes in Nonalcoholic fatty liver patients.
The age will range from 35-45 years old.
BMI (Body Mass Index 30-34.9 kg/m2.)
With fatty liver infiltration confirmed by abdominal ultrasound
Elevated of liver enzymes as a primary marker
History of cardiovascular or respiratory disease.
If any known endocrine diseases e.g. Hypothyroidism (which elevates liver enzymes and effects on appetite)
Any acute or chronic illness causing elevated liver enzymes other than fatty liver e.g. Hepatitis b, Hepatitis c
Any neurological illness or impairment can effect on sensation