Former Miami Dolphins Hall of Fame quarterback Dan Marino has revealed he was diagnosed with liver disease nearly 20 years ago.

Marino , who turned 64 on Monday, said he’s been living with metabolic dysfunction-associated steatohepatitis (MASH) — formerly dubbed nonalcoholic fatty liver disease — since 2007 when he learned of his diagnosis after a routine checkup.

MASH occurs when excess fat cells accumulate in the liver, causing chronic inflammation, according to the Cleveland Clinic. It’s reversible but can eventually lead to liver cancer and cirrhosis if left untreated.

MASH, the most common form of liver disease worldwide, is becoming more common as obesity rates rise , according to the Mayo Clinic.

Marino told People he received his diagnosis after complaining about fatigu

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