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Genetics can play a role, but lifestyle and environmental factors are often the primary drivers, along with a poor diet and lack of physical activity

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If left untreated, the following health conditions boost the odds youll progress from fatty liver to cirrhosis: Type 2 diabetes Insulin resistance High blood pressure Elevated ALT levels (a marker of liver health) High levels of fat in the blood (cholesterol or triglycerides) Low levels of good cholesterol (HDL) Severe obesity Other health problems that can raise your chances of fatty liver include: Having obesity along with a lot of belly fat Polycystic ovary syndrome (PCOS) Obstructive sleep apnea Underactive thyroid (hypothyroidism) Underactive pituitary gland (hypopituitarism) Race and ethnicity