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Report Overview

The non alcoholic fatty liver disease (NAFLD) market was valued at USD 17.57 Billion in 2025 and is expected to grow at a CAGR of 15.20%, reaching USD 72.33 Billion by 2035. The market growth is driven by the rising obesity and diabetes cases, increasing diagnosis and treatment demand. The market is expected to expand with non-invasive diagnostics, pipelines, and awareness, improving patient care.

Key Market Trends and Insights

  • By drug class, FXR receptor agonists are likely to lead the market in the forecast period.
  • By route of administration, the oral segment is anticipated to hold a significant share of the market in the forecast period.
  • Based on the distribution channel, hospital pharmacies held around 63% market share in the historical period.

Market Size and Forecast

  • Market Size (2025): USD 17.57 Billion
  • Projected Market Size (2035): USD 72.33 Billion
  • CAGR (2026-2035): 15.20%
2025

Base Year

2019-2025

Historical Period

2026-2035

Forecast Period

Compound Annual Growth Rate

15.2%

Value in USD Billion

2026-2035


*this image is indicative*

Non Alcoholic Fatty Liver Disease (NAFLD) Market Overview

Non alcoholic fatty liver disease (NAFLD) is emerging as a significant chronic liver condition gaining increasing clinical attention worldwide due to rising metabolic risk factors, lifestyle changes, and growing burden of obesity-related complications across populations. The market was valued at USD 17.57 Billion in 2025, and is expected to grow at a steady state, driven by increasing prevalence of metabolic syndrome, improved diagnostic awareness, and rising demand for advanced therapeutic approaches across developed and emerging economies. The ongoing research and pipeline developments are expected to strengthen clinical outcomes and expand treatment accessibility globally and improve patient care delivery worldwide in a sustainable manner.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Growth Analysis and Key Influencers

Analysis Type

Factors

Example

Market Drivers

The rising prevalence of NAFLD due to sedentary lifestyles, obesity, and metabolic disorders is increasing demand for diagnostics and therapeutics.

A 2024 Indian study reported NAFLD prevalence ranging from 9% to 53%, accelerating screening and treatment adoption.

Market Restraints

High treatment costs, disease progression expenses, and comorbidity management create a significant financial burden, limiting patient affordability and access.

Studies estimate NASH lifetime costs in the United States at USD 223 billion, restricting wider treatment accessibility.

Market Opportunities

Increasing MASLD/NAFLD patient population is creating demand for advanced diagnostics, targeted therapies, and disease management solutions globally.

In March 2026, an AHRQ report highlighted an 88.1% rise in NAFLD-related inpatient stays between 2016 and 2022.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Dynamics

The following section outlines the key factors influencing the growth of the market, including major drivers, restraints, and emerging opportunities.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Growth Drivers

Non Alcoholic Fatty Liver Disease Market Growth Driven by Rising Prevalence and Diagnostic Awareness

The increasing prevalence of the disease, driven by sedentary lifestyles and metabolic disorders, is a key factor driving the growth in the market, as it intensifies the demand for early diagnosis and effective therapeutic interventions. According to Prajakta Ankur Vagurmekar et al., 2024, the prevalence of NAFLD in India ranges from 9% to 53%, while a study in Goa highlights limited clinical attention and the need to assess associated risk factors in adults aged above 30 years in urban communities. This rising burden and underdiagnosis are accelerating screening initiatives and expanding treatment uptake.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Restraints

High Economic Burden and Disease Progression Costs Restrict Market Expansion

The market is significantly constrained by the high economic burden associated with disease progression, comorbidities, and advanced treatment requirements, which limit patient access and healthcare affordability. According to Zobair M. Younossi et al., NAFLD and non-alcoholic steatohepatitis (NASH) impose a substantial financial burden, with lifetime costs of NASH in the United States estimated at USD 223 billion. Additionally, NAFLD in patients with type 2 diabetes may lead to a USD 55.8 billion 20-year cost, along with 65,000 liver transplants, 1.37 million cardiovascular-related deaths, and 812,000 liver-related deaths, further intensifying healthcare expenditure and limiting overall market expansion.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Opportunities

Rising Burden of NAFLD/MASLD Can Create Significant Opportunities for the Market

The increasing nonalcoholic fatty liver disease (NAFLD) epidemiology, now referred to as metabolic dysfunction-associated steatotic liver disease (MASLD), is expected to create substantial growth opportunities for the market. The growing patient population is accelerating demand for advanced diagnostics, targeted therapeutics, and disease management solutions. For instance, in March 2026, the American Liver Foundation highlighted an AHRQ report showing an 88.1% increase in NAFLD-related inpatient stays between 2016 and 2022 in the United States. The report also estimated that nearly 1 in 4 Americans are affected by MASLD, emphasizing the strong future potential for innovative treatment development and healthcare expansion.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Trends

The market is witnessing several trends including advanced dual agonist therapies and fibrosis-targeted treatment innovations.

Rising Development of Dual Agonist Therapies is Likely to Enhance Market Growth

The growing focus on dual agonist therapies for managing fibrosis and metabolic dysfunction is emerging as a significant trend in the market. These therapies are gaining attention for their potential to simultaneously address liver inflammation, fibrosis progression, obesity, and metabolic complications associated with NAFLD and MASH. For instance, in June 2024, Boehringer Ingelheim announced that survodutide demonstrated substantial fibrosis improvement without worsening MASH in Phase II clinical trials, with up to 64.5% of patients with F2 and F3 fibrosis achieving positive outcomes. The advancement of such next-generation therapies is expected to accelerate treatment adoption and contribute significantly to overall market growth.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Share

FXR Receptor Agonists Expected to Lead the Market Share by Drug Class

The market is segmented by drug class into antioxidants, lipid-lowering agents, thiazolidinediones (TZDs), FXR receptor agonists, fibrosis treatment agents, biguanides, and others. Among these, FXR receptor agonists are expected to lead the market due to their strong potential in addressing liver fibrosis and improving metabolic function, which are critical factors in disease progression. The growing clinical success and regulatory advancements are further strengthening this segment’s position. For instance, in August 2025, Madrigal Pharmaceuticals received European Commission approval for Rezdiffra™ (resmetirom), supported by Phase 3 MAESTRO-NASH trial results demonstrating fibrosis reduction and disease resolution in patients with moderate to advanced fibrosis. This milestone is anticipated to accelerate innovation and therapeutic adoption across the market.

Non Alcoholic Fatty Liver Disease (NAFLD) Market Analysis by Region

The regions included in the report are the United States, the United Kingdom, Germany, France, Italy, Spain, Japan, and India. Among these, the United States is expected to lead the market due to the high prevalence of obesity, diabetes, and sedentary lifestyles, along with advanced healthcare infrastructure and increasing adoption of innovative diagnostic and treatment approaches. The growing burden of metabolic disorders and obesity continues to contribute significantly to the rising incidence of liver diseases, thereby supporting the growth of the market across major developed and emerging economies.

Leading Players in the Non Alcoholic Fatty Liver Disease (NAFLD) Market

The key features of the market report include patent analysis, funding and investment analysis, and strategic initiatives by leading players. The major companies in the market are as follows:

Madrigal Pharmaceuticals, Inc.

Madrigal Pharmaceuticals, Inc. is a biopharmaceutical company focused on metabolic dysfunction-associated steatohepatitis (MASH), a progressive form of non alcoholic fatty liver disease (NAFLD). It's lead therapy, resmetirom, a selective THR-β agonist, targets liver fat reduction and fibrosis improvement. The company is advancing combination pipelines and Phase 3 programs, strengthening its role in the market.

Intercept Pharmaceuticals, Inc.

Intercept Pharmaceuticals, Inc. is a key player in the market, specializing in developing therapies for serious liver diseases, including conditions within the NAFLD spectrum such as MASH. Its research is centered on farnesoid X receptor (FXR) biology to address liver inflammation and fibrosis. The company is engaged in advancing targeted therapies and clinical research to improve outcomes in progressive liver disease.

Gilead Sciences, Inc.

Gilead Sciences, Inc. is a research-driven biopharmaceutical company involved in developing treatments for non alcoholic steatohepatitis (NASH), a severe form of NAFLD. Its clinical programs include FXR agonists, ACC inhibitors, and combination therapies targeting liver fibrosis and inflammation. The company is actively conducting Phase 2 and Phase 3 studies to address unmet needs in liver disease management.

Novo Nordisk A/S

Novo Nordisk A/S is a global healthcare company focusing on metabolic diseases, including metabolic dysfunction-associated steatohepatitis (MASH), part of the NAFLD spectrum. Leveraging its expertise in obesity and diabetes, the company is developing therapies aimed at reducing liver fat and improving metabolic health. Its pipeline supports both treatment innovation and improved disease management strategies.

Other key players in the market include Novartis AG, Viking Therapeutics, Inc., Akero Therapeutics, Inc., Pfizer Inc., Galmed Pharmaceuticals Ltd., and Eli Lilly and Company.

*Please note that this is only a partial list; the complete list of key players is available in the full report. Additionally, the list of key players can be customized to better suit your needs.*

Non Alcoholic Fatty Liver Disease (NAFLD) Market Segmentation

The market report offers a detailed analysis of the market based on the following segments:

Market Breakup by Drug Class

  • Antioxidants
  • Lipid-Lowering Agents
  • Thiazolidinediones (TZDs)
  • FXR Receptor Agonists
  • Fibrosis Treatment Agents
  • Biguanides
  • Others

The market is segmented by drug class into antioxidants, lipid-lowering agents, thiazolidinediones (TZDs), FXR receptor agonists, fibrosis treatment agents, biguanides, and others, with ongoing clinical research, combination therapies, and pipeline innovations driving improved disease management and expanding treatment adoption globally.

Market Breakup by Route of Administration

  • Oral
  • Parenteral

By route of administration, the market is divided into oral and parenteral therapies, where oral medications dominate due to ease of use and better compliance, while parenteral options are increasingly used in advanced or resistant cases requiring higher bioavailability and targeted therapeutic delivery for improved liver outcomes.

Market Breakup by Age Group

  • Adults
  • Geriatric
  • Pediatric

The market is categorized into adults, geriatric, and pediatric age groups, with adults accounting for the largest share due to sedentary lifestyles and metabolic risk factors, while rising obesity and diabetes prevalence among elderly populations further accelerate demand for long-term disease management therapies.

Market Breakup by Distribution Channel

  • Hospital Pharmacies
  • Retail Pharmacies
  • Online Pharmacies

Based on the distribution channel, the market includes hospital pharmacies, retail pharmacies, and online pharmacies, with hospital pharmacies leading prescription dispensing for severe cases, while retail and online channels are expanding rapidly due to improved accessibility, growing digital healthcare adoption, and increased patient preference for convenient drug procurement.

Market Breakup by Country

  • United States
  • United Kingdom
  • Germany
  • France
  • Italy
  • Spain
  • Japan
  • India

By country, the market covers the United States, United Kingdom, Germany, France, Italy, Spain, Japan, and India, where developed regions dominate due to advanced healthcare infrastructure, while emerging markets like India show strong growth potential driven by increasing disease prevalence and expanding diagnostic awareness.

Key Questions Answered in the Non Alcoholic Fatty Liver Disease (NAFLD) Market Report

  • What was the non alcoholic fatty liver disease (NAFLD) market value in 2025?
  • What is the non alcoholic fatty liver disease (NAFLD) market forecast outlook for 2026-2035?
  • What are the major factors aiding the non alcoholic fatty liver disease (NAFLD) market demand?
  • How has the market performed so far, and how is it anticipated to perform in the coming years?
  • What are the market's major drivers, opportunities, and restraints?
  • What are the major non alcoholic fatty liver disease (NAFLD) market trends?
  • Which drug class is expected to dominate the market segment?
  • Which route of administration is projected to lead the market segment?
  • Which age group is anticipated to drive the market segment?
  • Which distribution channel is likely to dominate the market segment?
  • Who are the key players involved in the non alcoholic fatty liver disease (NAFLD) market?
  • What are the current unmet needs and challenges in the market?
  • How are partnerships, collaborations, mergers, and acquisitions among the key market players shaping the market dynamics?

*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*

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Report Summary

Explore our key highlights of the report and gain a concise overview of key findings, trends, and actionable insights that will empower your strategic decisions.

Key Highlights of the Report

Please note that the figures mentioned in the description serve as estimates and may vary from the actual figures presented in the final report.

REPORT FEATURES DETAILS
Base Year 2025
Historical Period 2019-2025
Forecast Period 2026-2035
Scope of the Report

Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:

  • Drug Class
  • Route of Administration
  • Age Group
  • Distribution Channel
  • Region
Breakup by Drug Class
  • Antioxidants
  • Lipid-Lowering Agents
  • Thiazolidinediones (TZDs)
  • FXR Receptor Agonists
  • Fibrosis Treatment Agents
  • Biguanides
  • Others
Breakup by Route of Administration
  • Oral
  • Parenteral
Breakup by Age Group
  • Adults
  • Geriatric
  • Pediatric
Breakup by Distribution Channel
  • Hospital Pharmacies
  • Retail Pharmacies
  • Online Pharmacies
Breakup by Region
  • United States
  • United Kingdom
  • Germany
  • France
  • Italy
  • Spain
  • Japan
  • India
Market Dynamics
  • Market Drivers and Constraints
  • SWOT Analysis
  • PESTEL Analysis
  • Porter’s Five Forces Model 
  • Key Demand Indicators
  • Key Price Indicators
  • Industry Events, Initiatives, and Trends 
  • Value Chain Analysis
Supplier Landscape
  • Market Structure
  • Company Profiles
    • Financial Analysis
    • Product Portfolio
    • Demographic Reach and Achievements
    • Company News and Developments
    • Certifications
Companies Covered
  • Madrigal Pharmaceuticals, Inc.
  • Intercept Pharmaceuticals, Inc.
  • Gilead Sciences, Inc.
  • Novo Nordisk A/S
  • Novartis AG
  • Eli Lilly and Company
  • Viking Therapeutics, Inc.
  • Akero Therapeutics, Inc.
  • Pfizer Inc.
  • Galmed Pharmaceuticals Ltd.

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