<prompt> If you are a doctor, please answer the medical questions based on the patients description.Past 4 years my AST,ALT ASbilirubin have been elevated. Lives scan showed mild diffuse fatty changes. Weight, cholesterol, etc otherwise normal. No treatment was suggested. But every time i do an LFT, the Dr go to different clinicsDr each time, the Dr wants to investigate and its a waste of time because we end up not doing anything at the end of it.  <response>: Hello and welcome to Chat Doctor, Fatty liver is a reversible condition in which liver cells are replaced by adipose tissue. This fatty change is caused by various causes, some of them are as follows:1. Alcoholism2. Starvation3. Malnutrition4. Diabetes Mellitus These are just few causes. If you have any of these risk factor, you can avoid it or treat it in case of Diabetes Mellitus. There is no treatment for fatty liver disease but only prevention of the risk factors. Thanks and take care. Chat Doctor. 