[Music] non-alcoholic fatty liver disease is a catch-all term for liver disease that is not caused by alcohol use the hallmark of this disease is an excess store of fat in the liver cells it is now the most common cause of liver disease in the united states there are usually no symptoms but some people may have fatigue and pain in the upper right abdomen risks for this disease are obesity diabetes high cholesterol sleep apnea and metabolic syndrome if left untreated it can progress to nash or non-alcoholic steato hepatitis which is inflammation of the liver over time this can cause scarring and cirrhosis of the liver which may cause liver failure the diagnosis for fatty liver disease is done with blood work and ultrasounds the best things you can do to both prevent and treat fatty liver disease are lose weight eat healthy exercise control your diabetes and high cholesterol and protect your liver by decreasing alcohol use and watching what medications you take you