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A 33-year-old male asked:

am 33. a bit overweight. do no tdrink. have fatty liver. liver enzymes and ultrasound normal but fatty liver. no symptoms. what re the risk? what do?

3 doctor answers3 doctors weighed in
Dr. Martin Wolff
Internal Medicine 12 years experience
Steatosis: Risk of fatty liver (or steatosis) progressing to cirrhosis (scarring of the liver) is less than 5%; however with continued fatty liver there is a risk of progression to an entity called "nonalcoholic steatohepatitis" which carries a more significant risk of cirrhosis. In terms of what to do, weight loss through diet and exercise can reverse some of the fatty change in the liver.
Dr. Philip Kern
Endocrinology 43 years experience
Fatty liver: How was fatty liver detected if us and enzymes normal? Ct? Although there is a risk of fatty liver progressing to cirrhosis, that risk is low, esp if no evidence of inflammation. Fatty liver is a manifestation of metabolic syndrome. Other features are Insulin resistance, high triglycerides, low hdl, hypertension. Best option: lose weight, improve diet, exercise, see doctor for regular checkups.
Dr. Amy Levine
Radiology 23 years experience
Lose weight: Especially since this is happening at such a young age, you are at risk for chronic liver disease if you stay overweight.

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Last updated Sep 29, 2016

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