Latest news with #AFLD
Hindustan Times
a day ago
- Health
- Hindustan Times
Stanford gastroenterologist explains fatty liver can be reversed with 4 simple diet and lifestyle changes: ‘Lose weight'
Did you know fatty liver disease can often be reversed with simple diet and lifestyle changes? Gastroenterologist Dr Wendi LeBrett, who studied at Stanford University, often shares health-related content on her Instagram page. On March 9, she posted about 'lifestyle changes you can make to improve fatty liver'. Also read | Fatty liver disease without symptoms? Here's how to catch it before it is too late Maintaining a healthy body weight is important to fight fatty liver. (Freepik) How to reverse fatty liver According to the gastroenterologist, if you exercise regularly, maintain a healthy weight, lose weight if overweight or obese, limit alcohol consumption and drink coffee, you can reverse fatty liver disease and improve your overall health. 'Fatty liver can be reversed. So, let's talk about four things you can do to improve your fatty liver,' she said in the Instagram video, adding, 'There are two things that cause fatty liver – no. 1 is alcohol use, and no. 2 is metabolic syndrome, the conditions that predispose you to having fat on your body. So, what can you do for fatty liver?' 1. 'Stop drinking alcohol. Even if it is once in a while, or one or two drinks in a week. You have got to stop drinking alcohol,' Dr LeBrett said. 2. 'Weight loss has been shown to improve fatty liver,' she added. 3. 'Exercise independent of weight loss. So even if you don't lose weight, exercise itself can improve fatty liver,' Dr LeBrett said. 4. Research studies have shown that drinking coffee, whether decaf or regular, can prevent fatty liver from becoming fibrosis, she added. What is fatty liver? In a 2024 interview with HT Lifestyle, Dr Lorance Peter, director, gastroenterology and hepatology at Sakra World Hospital in Bengaluru, said, 'Fatty liver disease is when your liver, which should only have about 5% fat, starts hoarding more fat than it should. This can be assessed by a simple ultrasound examination of the liver when it is bigger and brighter than usual – that's a sure sign of fatty liver.' He added, "Fatty liver disease, also known as hepatic steatosis, happens when your liver cells gather too much fat, and this fat interferes with the normal metabolic functions of the liver cells. There are two main types: one caused by drinking too much alcohol (AFLD) and the other not linked to alcohol but associated with obesity, diabetes, or metabolic dysfunction (NAFLD). NAFLD is a big health problem worldwide, hitting millions of the population. Recently NAFLD has been renamed as MASLD (Metabolic Dysfunction Associated Steatosis liver disease). The majority of people may not have any symptoms. Some people might feel a little discomfort or heaviness on the right side of their belly, especially after eating a big meal.' Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
Time of India
08-07-2025
- Health
- Time of India
Can you cure fatty liver with lemon water? Fact vs myth
You've probably seen it all over social media—those cheery reels where someone pours hot water into a glass, squeezes in half a lemon, and confidently declares it a 'liver detox' that can cure fatty liver. It looks simple. It sounds healthy. But is it real? Let's cut through the citrus-scented hype and get to the facts. Can lemon water actually cure fatty liver? Or is it just another wellness myth dressed up with a slice of lemon and a dash of false hope? Fatty liver disease (also known as hepatic steatosis) happens when excess fat builds up in the liver. There are two main types—alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD). The latter is increasingly common, even among people who don't drink alcohol at all. If you're eating a diet high in sugar, processed carbs, or unhealthy fats, or if you're overweight, insulin resistant, or sedentary, you're already in the risk zone. Sometimes even skinny people with poor metabolic health develop fatty liver—a condition that's sneaky, often symptomless, and hugely underdiagnosed. Now that we've set the stage, let's get to the lemon water claim. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Ter um Mitsubishi 0 km ficou mais fácil, prático e seguro com o MIT Assinatura Mitsubishi Saiba Mais Undo So… where did this lemon water myth come from? It likely started with the very real benefits of vitamin C and antioxidants found in lemons. Lemons are great—no doubt. They're anti-inflammatory, they help with digestion, and they're rich in compounds like d-limonene, which has some detox-supporting properties. But here's the catch: detox doesn't mean cure. And 'supporting liver function' is not the same as reversing liver damage. Myth: Lemon water flushes out fat from the liver This one's everywhere—especially in WhatsApp forwards and clickbait blogs. The claim goes that lemon water melts fat, flushes toxins, and cleanses your liver like detergent on a greasy plate. Unfortunately, our bodies don't work that way. Your liver is already your natural detox system. It breaks down toxins, metabolizes drugs, and processes fat and sugar. But when it's overwhelmed with fat—either from your diet or from insulin resistance—it can't do its job well. Myth: You just need to 'detox' your liver 'Detox' is one of the most overused, under-explained words in the wellness industry. From green juices to celery shots to turmeric pills, everything claims to detox your liver. But in medical terms, there's no such thing as a liver detox cure for fatty liver. The liver doesn't need a product to detox it—it needs you to stop overloading it. If you continue eating a high-sugar, low-fiber, processed-food diet while sipping lemon water each morning, you're not detoxing anything. You're just giving your liver more work to do. So, is lemon water totally useless? Nope! Lemon water has its perks—especially if it helps you cut back on soda or sugary juices. Here's what it can do: It may boost hydration, especially first thing in the morning. It contains vitamin C, which supports the immune system. It can mildly aid digestion by stimulating stomach acid. It makes plain water more appealing, encouraging better fluid intake. But again—these are supportive benefits, not curative ones. Lemon water can be part of a liver-friendly routine, but it's not the routine. The real cure: Lifestyle changes Here's the truth most of us don't want to hear: curing or reversing fatty liver requires consistent, unglamorous changes. 1. Diet overhaul Cut back on refined carbs like white bread, sweets, and sugary drinks. Increase your intake of whole foods—think leafy greens, cruciferous vegetables, whole grains, lean proteins, and healthy fats. 2. Exercise regularly Even a brisk 30-minute walk five days a week can reduce liver fat. Resistance training (like bodyweight exercises or light weights) is even better when combined with cardio. 3. Lose weight (if overweight) You don't need to shed 20 kilos overnight. Research shows that losing even 5-10% of your body weight can dramatically reduce liver fat and inflammation. 4. Manage insulin and blood sugar Fatty liver often travels with insulin resistance, prediabetes, or Type 2 diabetes. Managing your blood sugar through diet, movement, and possibly medication can prevent the condition from worsening. Lemon water isn't magic—but your habits are We all want an easy fix. A daily ritual that makes us feel in control. Lemon water gives us that illusion—but when it comes to fatty liver, it's not enough. The liver is one of the most resilient organs in your body. Give it the right food, movement, and care—and yes, a splash of lemon water if you like—and it can heal. But don't expect a miracle from one ingredient. In the end, it's not about what you drink first thing in the morning. It's about what you eat, move, and choose every day. Lemon water is refreshing. But it's your lifestyle that's truly cleansing.
Time of India
23-06-2025
- Health
- Time of India
Fatty liver: 10 everyday foods that can trigger this liver condition without you realizing it
Let's start with a fact that might shake you up a little: fatty liver disease affects nearly 1 in 3 adults globally—and many of them don't even know they have it. You might be going about your day, powering through deadlines, sipping your usual cup of chai or coffee, feeling a little bloated maybe, but otherwise fine—and meanwhile, your liver might be struggling under layers of fat. It doesn't scream. It doesn't throw a tantrum. It just quietly starts failing. And unless you catch it early, that quiet damage can turn into something loud, scary, and irreversible. Fatty liver, or hepatic steatosis, happens when too much fat builds up in your liver cells. Your liver is supposed to have some fat—it's a normal part of its structure. But when fat makes up more than 5–10% of the liver's weight, it starts becoming a problem. There are two main types: Non-Alcoholic Fatty Liver Disease (NAFLD) – Not caused by alcohol, but linked to diet, weight, and lifestyle. Alcoholic Fatty Liver Disease (AFLD) – Caused by heavy drinking. We'll mostly talk about NAFLD here—because even non-drinkers are showing up with it in growing numbers. It's become a modern lifestyle epidemic. 10 foods that can trigger this liver condition without you realizing it 1. White bread and refined grains Let's start with the basics. White bread, pizza bases, and anything made with maida (refined flour) spike your blood sugar fast. Your body ends up storing that extra glucose as fat—some of it in your liver. Whole grains are a much kinder choice. 2. Sugary breakfast cereals They may scream 'fortified with vitamins!' on the box, but flip it over and check the sugar content. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Your Finger Shape Says a Lot About Your Personality, Read Now Tips and Tricks Undo Many cereals are basically dessert disguised as breakfast. Your liver can't handle that much sugar first thing in the morning. 3. Soda and sweetened beverages This one's a liver killer. Sodas, energy drinks, iced teas, and even those fancy bottled fruit juices are packed with high-fructose corn syrup or added sugar. Fructose goes straight to your liver—and too much of it gets converted into fat. 4. Packaged snacks (chips, crackers, and namkeens) Crunchy, salty, and hard to stop eating—most processed snacks are loaded with refined carbs, trans fats, and preservatives. These things are a nightmare for your liver and offer zero nutritional value. 5. Red meat (especially processed) We're talking bacon, sausages, salami, and even that juicy steak if it's a regular on your plate. Red meat is high in saturated fat, which adds to the liver's fat burden and inflammation. Swap it for lean proteins or plant-based options more often. 6. Pastries and cakes Sure, they're fun for birthdays. But when pastries, muffins, donuts, and cakes become an everyday treat, your liver takes a hit. These are full of sugar and bad fats that encourage fat storage right in the liver. 7. Fried foods Whether it's fries, pakoras, or fried chicken, deep-fried goodies are heavy on trans fats. Your liver struggles to break them down, and over time, it starts storing the excess as fat. Even 'air-fried' versions aren't always innocent—watch the oil and batter. 8. Full-fat dairy (especially flavored versions) Whole milk, full-fat cheese, creamy yogurts, and sweetened lassis might be comforting, but they're also full of saturated fat and added sugars. And that combo? Not your liver's best friend. 9. Fast food and takeout Burgers, noodles, pizzas, and that 'just one bite' of biryani can add up fast. Most fast food meals are high in sugar, salt, and unhealthy fats—all of which overwhelm the liver when eaten too often. 10. Artificial sweeteners and diet foods Yep, even diet soda isn't totally safe. Some studies suggest that artificial sweeteners might mess with your metabolism and gut bacteria, indirectly contributing to fatty liver. 'Low-fat' or 'sugar-free' labels don't always mean liver-friendly. So how do you know if you have it? Especially when it's so silent in the early stages? Let's break it down in simple, real-life terms. Fatty liver: Sneaky symptoms that often go unnoticed Fatty liver doesn't usually show up with big, obvious signs—especially in the early days. But if you listen carefully, your body is talking. Here's how: 1. You're always tired for no reason Ever feel like you just wake up tired? Even on days you sleep enough? Chronic fatigue is one of the earliest signs. Your liver is a detox engine, and when it's not working efficiently, toxins build up—and you feel the drag. 2. Your belly feels heavy, bloated, or uncomfortable Some people describe it as a 'full' feeling on the right side of their belly, especially after eating. Others feel like they're carrying an invisible balloon in their stomach. It's not always painful, but it's definitely not pleasant. 3. Your liver enzymes are high in your blood test—but you feel fine This is a classic. A routine blood test might show elevated ALT or AST levels. If your doctor casually mentions 'your liver enzymes are a bit high,' don't ignore it. That might be fatty liver waving hello. 4. You have insulin resistance or are prediabetic NAFLD is tightly linked to insulin resistance. If you've been told you're borderline diabetic, have PCOS, or carry a lot of weight around your midsection, your liver might already be absorbing the consequences. 5. You're gaining weight without changing much Especially if the weight is piling up around your belly and waistline. The liver is closely tied to fat metabolism, and when it's out of sync, your weight becomes harder to manage—even if you're eating reasonably well. The weird-but-true signs that sometimes show up These aren't textbook symptoms, but many people with fatty liver report them: Brain fog or poor memory Skin issues like acne or dark patches (especially on neck or underarms) Bad breath that won't go away Mild depression or anxiety that feels unexplainable Again, none of these scream 'your liver's in trouble!'—but when you connect the dots, it's worth getting checked. What causes it (even if you don't drink)? Here's the kicker: you don't have to drink a drop of alcohol to develop fatty liver. In fact, some of the most common culprits are things we encounter every day—often without even realizing the damage they're doing. One major trigger is a diet high in sugar and refined carbs. Think white bread, pasta, packaged snacks, sugary cereals, and those sweetened drinks that sneak into your daily routine. Your liver turns excess sugar into fat, and over time, that fat starts to build up where it shouldn't. Then there's the sedentary lifestyle factor. Even if you're hustling mentally at your desk job, your liver suffers when your body doesn't move much. Long hours of sitting without any physical activity can slow down your metabolism and lead to fat accumulation—not just in your belly, but in your liver too. Being overweight or obese also plays a key role, especially if you carry that extra weight around your midsection. A high BMI and expanding waistline are red flags that your liver might be under stress. How to start healing your liver Cut back on added sugar and processed foods. Your liver hates sugary cereals, soft drinks, and baked goods. Start there. Move your body every day. You don't need a gym. Brisk walks, yoga, or dancing in your living room helps. Lose 5–10% of your body weight. Research shows that even 5% weight loss can reduce liver fat significantly. Eat more real, whole foods. Leafy greens, cruciferous veggies, lentils, berries, garlic, and omega-3 fats are liver-friendly. Get enough sleep. Nightly rest resets your metabolism and liver function. You don't need to panic. But you do need to pay attention. If your body is whispering—through fatigue, bloating, or weird lab results—don't wait for it to shout. Fatty liver might be common, but it's not harmless. The good news? You have more control than you think. So go on. Show your liver some love. It's been quietly working for you all along. One step to a healthier you—join Times Health+ Yoga and feel the change
Time of India
23-06-2025
- Health
- Time of India
You might have fatty liver and not even know it—here's how to tell
Let's start with a fact that might shake you up a little: fatty liver disease affects nearly 1 in 3 adults globally—and many of them don't even know they have it. You might be going about your day, powering through deadlines, sipping your usual cup of chai or coffee, feeling a little bloated maybe, but otherwise fine—and meanwhile, your liver might be struggling under layers of fat. Tired of too many ads? go ad free now It doesn't scream. It doesn't throw a tantrum. It just quietly starts failing. And unless you catch it early, that quiet damage can turn into something loud, scary, and irreversible. Fatty liver, or hepatic steatosis, happens when too much fat builds up in your liver cells. Your liver is supposed to have some fat—it's a normal part of its structure. But when fat makes up more than 5–10% of the liver's weight, it starts becoming a problem. There are two main types: Non-Alcoholic Fatty Liver Disease (NAFLD) – Not caused by alcohol, but linked to diet, weight, and lifestyle. (NAFLD) – Not caused by alcohol, but linked to diet, weight, and lifestyle. Alcoholic Fatty Liver Disease (AFLD) – Caused by heavy drinking. We'll mostly talk about NAFLD here—because even non-drinkers are showing up with it in growing numbers. It's become a modern lifestyle epidemic. So how do you know if you have it? Especially when it's so silent in the early stages? Let's break it down in simple, real-life terms. Fatty liver: Sneaky symptoms that often go unnoticed Fatty liver doesn't usually show up with big, obvious signs—especially in the early days. But if you listen carefully, your body is talking. Here's how: 1. You're always tired for no reason Ever feel like you just wake up tired? Even on days you sleep enough? Chronic fatigue is one of the earliest signs. Your liver is a detox engine, and when it's not working efficiently, toxins build up—and you feel the drag. 2. Your belly feels heavy, bloated, or uncomfortable Some people describe it as a 'full' feeling on the right side of their belly, especially after eating. Others feel like they're carrying an invisible balloon in their stomach. It's not always painful, but it's definitely not pleasant. 3. Your liver enzymes are high in your blood test—but you feel fine This is a classic. Tired of too many ads? go ad free now A routine blood test might show elevated ALT or AST levels. If your doctor casually mentions 'your liver enzymes are a bit high,' don't ignore it. That might be fatty liver waving hello. 4. You have insulin resistance or are prediabetic NAFLD is tightly linked to insulin resistance. If you've been told you're borderline diabetic, have PCOS, or carry a lot of weight around your midsection, your liver might already be absorbing the consequences. 5. You're gaining weight without changing much Especially if the weight is piling up around your belly and waistline. The liver is closely tied to fat metabolism, and when it's out of sync, your weight becomes harder to manage—even if you're eating reasonably well. The weird-but-true signs that sometimes show up These aren't textbook symptoms, but many people with fatty liver report them: Brain fog or poor memory Skin issues like acne or dark patches (especially on neck or underarms) Bad breath that won't go away Mild depression or anxiety that feels unexplainable Again, none of these scream 'your liver's in trouble!'—but when you connect the dots, it's worth getting checked. What causes it (even if you don't drink)? Here's the kicker: you don't have to drink a drop of alcohol to develop fatty liver. In fact, some of the most common culprits are things we encounter every day—often without even realizing the damage they're doing. One major trigger is a diet high in sugar and refined carbs. Think white bread, pasta, packaged snacks, sugary cereals, and those sweetened drinks that sneak into your daily routine. Your liver turns excess sugar into fat, and over time, that fat starts to build up where it shouldn't. Then there's the sedentary lifestyle factor. Even if you're hustling mentally at your desk job, your liver suffers when your body doesn't move much. Long hours of sitting without any physical activity can slow down your metabolism and lead to fat accumulation—not just in your belly, but in your liver too. Being overweight or obese also plays a key role, especially if you carry that extra weight around your midsection. A high BMI and expanding waistline are red flags that your liver might be under stress. How to start healing your liver Cut back on added sugar and processed foods. Your liver hates sugary cereals, soft drinks, and baked goods. Start there. Move your body every day. You don't need a gym. Brisk walks, yoga, or dancing in your living room helps. Lose 5–10% of your body weight. Research shows that even 5% weight loss can reduce liver fat significantly. Eat more real, whole foods. Leafy greens, cruciferous veggies, lentils, berries, garlic, and omega-3 fats are liver-friendly. Get enough sleep. Nightly rest resets your metabolism and liver function. You don't need to panic. But you do need to pay attention. If your body is whispering—through fatigue, bloating, or weird lab results—don't wait for it to shout. Fatty liver might be common, but it's not harmless. The good news? You have more control than you think. So go on. Show your liver some love. It's been quietly working for you all along.
Wales Online
07-06-2025
- Sport
- Wales Online
Today's rugby news as Wales star diagnosed with stage four arthritis and audio reveals what sparked row
Today's rugby news as Wales star diagnosed with stage four arthritis and audio reveals what sparked row The latest rugby news stories from Wales and beyond Wales international Rhys Webb (Image:) Here are your rugby morning headlines for Saturday, June 7. Wales scrum-half told he needs knee replacement Wales international Rhys Webb has revealed he's been diagnosed with Stage four arthritis and told he needs a knee replacement at the age of just 36. Webb suffered with numerous knee problems throughout is career, including undergoing three ACL reconstructions. His rugby career appears over after he was banned for four years in July, 2024 after testing positive for a growth hormone while playing in France. He now lives and works in Dubai and has strongly denied any wrongdoing. Sign up to Inside Welsh rugby on Substack to get exclusive news stories and insight from behind the scenes in Welsh rugby. Stage four arthritis is often referred to as severe or advanced stag and is characterized by extensive joint damage and significant limitations in daily activities. This stage involves severe pain, stiffness, and a notable loss of mobility. Posting pictures of him in hospital in Dubai, Webb wrote on social media: "After 3 ACL reconstructions, no meniscus, no cartilage, and battling osteoarthritis for the last 10 years my knee has finally waved the white flag. Over the last few months, it's really gone downhill. Some days I can barely walk properly. "Got it scanned… outcome: Stage 4 arthritis. The knee's had it. A full replacement is needed—but at 36, I'm not ready for that just yet. "So I've gone for one last clean-out. The joint's basically like my dad's old toolbox bolts, screws and all sorts floating around causing pain. Hopefully this gives me another 10 years. That's the target. Then I'll deal with the replacement. "But as you know this won't slow me down. I'm going to smash these next few weeks and get my knee back to the best it can be. This is going to be good "Massive thanks for all your messages it really does mean a lot. I'm all good. Just want to stay fit and healthy so I can keep chasing after my kids." Content cannot be displayed without consent Article continues below A statement through is lawyer at the time of the ban last year said: "The sanction imposed on Rhys Webb is not final, and we have immediately instructed a lawyer at the Conseil d'Etat to lodge an appeal to overturn the AFLD's decision. "In the meantime, Rhys wishes to reaffirm his innocence, pointing out that he has never undergone any other disciplinary procedure, of any kind, during his long career as a professional athlete and has never used any doping product, growth hormone in particular." The statement went on to identify what Webb and his legal team believe are "incompetencies" in the AFDL's testing process. Ref mic audio reveals unheard comment that led to row Irish pundit and former Dragons head coach Bernard Jackman has revealed new information about the enraged reaction of Munster's Jack Crowley in last weekend's controversial penalty shootout loss to the Sharks. The young fly-half exploded with rage when Sharks and Springboks scrum-half Jaden Hendrikse went down with apparent cramp as Crowley prepared to take a crucial shot at goal during the shootout. Hendrikse winked at Crowley amid the furore as the Irish man complained to the referee and swore at a Sharks member of staff helping to treat the South African player. Now, Jackman has revealed ref mic audio sheds light on a comment made to Crowley ahead of the shootout that appears to have sparked the tense situation. Speaking on the RTÉ Rugby podcast, Jackman revealed he has now been sent audio of the remarks directed at Crowley before his kick. 'I've actually been sent the ref mic audio from earlier on for the first kick and someone says to Jack that he's a 40% kicker,' said Jackman. 'That's obviously why Jack was so fired up. But to be fair, it didn't impact the result — Jack nailed both his kicks, Conor [Murray] got his, and unfortunately Rory [Scannell] didn't.' Jackman wasn't overly impressed with referee Mike Adamson's handling of the whole situation. 'To be honest, the officials are struggling to control things they see every week, so in a shootout that happens once every few years, it was never going to be properly marshalled," he said. 'Scannell was kicking right beside the Sharks' bench — unless they're incredibly disciplined, there's always going to be something said.' Whiffin finds positives in England collapse Wales U20s coach Richard Whiffin said he learned a lot about his young side after their late collapse against England in their first World Championship warm-up match. Just five of the side that beat England in the Six Nations started at Pontypool Park, but Wales still found themselves leading 14-7 at the break. However, five tries in the final 13 minutes saw England win 47-14. "We were decent for the first 50," said Whiffin afterwards. "I thought we managed the game well. "Our kicking game was strong. We won some aerial battles and our set-piece was good. It gave us the opportunity to be right in the hunt. "Then that last 25 minutes, we lacked a bit of energy. The boys looked tired and we coughed up some soft tries, some intercepts, that blew the scoreboard out. "Disappointed with our energy in that back 20 minutes but pleased with what we put on the field in the first 50 minutes. "We controlled the game and probably left a few tries out there. But I was pleased with our half-backs. They put us in the right areas of the field. "Our set-piece dominated really well. It gave us those opportunities to get scores. There's always the other side of the half and we didn't bring the energy we needed in that second-half. "We've seen the first-half group execute the plan really and we've seen guys put their hand up in that space. We've also seen guys struggle at the level. It gives you a good picture of where guys are at and helps with selection." Finn Russell only dealing with cramp as Bath reached final – Johan van Graan By PA Sport Staff Bath head of rugby Johan van Graan reassured Bath supporters that it was 'only cramp' that forced him to replace Finn Russell before the end of their 34-20 Gallagher Premiership play-off victory against Bristol. The British & Lions fly-half kicked four conversions and two penalties in Bath's comeback win that sent them into next weekend's final at Allianz Stadium Twickenham. 'Multiple parts of his body are cramping,' he said. 'He put in some effort, I thought. His goalkicking was phenomenal, the chases that he put in too. He was still cramping in the changing room but there's no reason to suppose he won't be fine. 'It was amazing how many guys on both sides went down with cramp. It just showed the effort that both teams put in. We worked incredibly hard to get into this position, to get back to Twickenham.' He added: 'That's a Premiership semi-final for you. We knew this was going to be a tough game and we picked a 23 that we believe will get the job done. 'I thought at 34-13, we got some momentum but Bristol is a good team. They kept on attacking and it's never dead on 34-20. 'It was some game of rugby. We knew that we were going to be stretched but we actually defended pretty well. 'At half-time we spoke about our game and composure. It shows that we are a team that is fluid and adaptable. We made one or two tactical changes and then our fitness came through, our hunger, our will to win. 'At 13-6 we had a penalty. Many teams would have kicked for the posts but we went straight for the kill and made it 13-0. 'How good was the crowd! They gave us so much energy so we dominated them in the second half. 'I'm incredibly proud of this win and that we did this not only for ourselves but for the city. The people of Bath were amazing tonight.' Bristol were 13-6 in front at the break and it could have been more. The try of the match was scored by their lock James Dun after Fiji wing Kalaveti Ravouvou set off from his own line, leaving four Bath defenders in his wake. Bristol director of rugby Pat Lam said: 'Firstly well done to Bath. They've had a phenomenal season and they thoroughly deserve to be there in the final, if you take what they've done throughout the year. 'We got on the wrong foot with the referee at the very beginning when (Ellis Genge) Gengey got pushed and said a few things. We got turned over and the boys were phenomenal in holding them out.' Lam conceded that the third quarter was decisive: 'At 13-6 we missed the kick-off receipt and off the back of that they got down there and scored. 'We missed some high balls and the penalty count was 5-1, 10 minutes after half-time so we were down there again and they scored. The second yellow card on Kieran Marmion was not ideal in terms of our attack shape.' But he added: 'Man, I'm so proud of the boys coming back at the end there. Article continues below 'It was a great game and, as I said, Bath thoroughly deserved their place in the final. Theirs is a really complete game and we wanted to disrupt that. 'Don't get me wrong – we are disappointed but we gave it a really good go and we missed out to a quality team.'
