7 “Silent” Symptoms of Fatty Liver: What’s Real and What’s Overhyped

may point toward the metabolic problems that often travel with fatty liver rather than the liver condition alone.

5. Elevated liver enzymes: one of the most useful early clues

Abnormal ALT or AST levels on routine blood tests are one of the most common ways fatty liver first comes to attention. That said, normal liver enzymes do not completely rule it out, and high enzymes can happen for other reasons too. Still, in everyday practice, unexpected abnormal liver tests are one of the strongest prompts for further evaluation.

6. Brain