Every minute, your liver works quietly behind the scenes—filtering toxins, processing nutrients, and keeping your metabolism in balance. It’s the body’s ultimate multitasker. But when it starts to break down, the warning signs can be subtle, even deceptive. By the time you feel something is wrong, the damage might already be deep. The truth is chilling: millions of Americans are living with liver disease and don’t even know it. The CDC estimates that over 4.5 million people in the U.S. have some form of liver condition, many without symptoms until it’s almost too late. So how can you tell if your liver is struggling—before it’s beyond repair? Let’s uncover the nine red flags your body might already be sending you. But stay with me, because the last one might surprise you.