Early detection of fatty liver disease is essential to start making the necessary lifestyle changes to prevent the disease from progressing and damaging the liver. It is not easy to diagnose fatty liver because there are no symptoms. Your doctor may first suspect a problem if liver tests come back abnormal with general lab work. To make a diagnosis, your doctor will perform a physical exam and obtain a medical history. This history will include asking about your alcohol intake and any medications that you're taking. You may also need blood tests and imaging tests to check for fat or fibrosis in your liver. If the liver damage is significant, you may also need a biopsy.

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