A member 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 doctors weighed in across 3 answers
Dr. Martin Wolff answered

Specializes in Internal Medicine

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.

Answered 9/28/2016

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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.

Answered 9/29/2016

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Lose weight: Especially since this is happening at such a young age, you are at risk for chronic liver disease if you stay overweight.

Answered 3/15/2014

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