Could fatty liver be getting worse if it still aches after losing 46lbs. i am obese f. wt 274?

Keep up good work: You're down 14.4% of your starting weight--wonderful. You may already have seen a downward trend in your blood tests for liver. In prior healthtap answers you learned the importance with fatty liver of managing diabetes, cholesterol, & alcohol intake. Keep up the good work. Shoot for a bmi (body mass index) of 25. This may shrink your liver. Discomfort however deserves further medical evaluation.