<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Doctor, Here is what is going on supposedly with my Liver Gall bladder. Question: What do you think of the medications prescribed and should I be worried about having a fatty Liver ? Is it Genetic? If not what causes it? Thank you The ultrasonography report says that the liver is normal in shape, size and has increased echo pattern. No evidence of focal lesion or intrahepatic binary ducal dilatation. Hepatic and portal vein radicals are normal. Gall bladder, pancreas, spleen, kidneys and urinary bladder are normal in size,shape echo pattern and thickness . prostate is normal shape size and echo pattern normal. Impression : Increased hepatic echo pattern suggestive of fatty infiltration. The latest blood reports say that... Serum GET GCNA-IFCC is 49.00 IUml. Normal range is 15.00 - 85.00 Serum Lipid profile. Total cholesterol CHODPOD is 161 mgdl. Normal is less than 200.00 Triglycerides GPOPOD is 154.00 mgdl. Normal is less than 150 HDL cholesterol Direct is 36mgdl. Normal range is 30.00 to 60.00 VLDL Cholesterol calculated is 30.80 mgdl. Normal range is 10.00 to 40.00 LDL Cholesterol is 94.20 mgdl. Normal range is below 100. T. cholHDL cholesterol ratio is 4.47 normal range is 0.00-6.00 LDL CholHDL Chol ratio is 2.6 Normal range is 0.0-4.0 Serum liver function test report. Bilirubin total mod. J Groff is 2.30 mgdl normal 0.10-1.20 Bilirubin direct mod. J Groff is 0.30 mgdl .Normal is 0.00 -0.40 SGOTAST P5P, IFCC is 15 IUml. Normal is 15.00 to 37 SGPTALT P5P, IFCC IS 46 IUml. Normal is 10.00--50.00 ALP p-NPP, Kinetic is 82 IUml. Normal is 53.00--128.00 Total protein mod Biuret is 7.40gdl. Normal is 6.00--8.20 Serum albumin BCG-dye is 4.70gdl. Normal 3.50--5.20 Serum globulin is 2.70gdl. Normal is 1.80--3.40 ALBGLOB AG ratio is 1.74gdl Normal is 1.10---1.80 Right now the gastroenterologist has recommended the following medicines. Heptathlon 400 mg one tablet in the morning and one night. Udiliv 300mg thrice a day. .Morning, afternoon and night. Sylimarin 140 mg twice a day ...One morning and one night.  <response>: Hi thanks for contacting Chat Doctor. Noted you have fatty liver... It is not genetic condition. In fatty liver fat is getting accumulated in hepatocytes... So also called stenosis. Causes are as below... Hyper cholesterolDiabetisAlcohol Chemical and Chat Doctor. . Your triglyceride slight high... Main mode of treatment is to cut off oil in diet. Use less oil in cooking... Use good oil like sunflower oil... Avoid alcoholFruits more. Avoid trans fat foods like meat and junk foo 