Need a workup: Most often nowadays, if you're taking no medications or alcohol, the first entity to consider is non-alcoholic steatohepatitis, which is largely genetic and for which physical fitness is a key to management. You may need to be checked for hepatitis B and C, Wilson's, hemochromatosis, and autoimmune hepatitis. Supplements may not be what's on the label. Good luck with the workup.
Answered 2/24/2016
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