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Learn about our expanded patient care options and visitor guidelines. Fatty liver, or hepatic steatosis, refers to excessive fat accumulation in the liver. Obesity, and medical conditions such as hypertension, hypercholesterolemia, and diabetes, are risk factors for the development of NAFLD. In some patients, fat causes liver inflammation, or steatohepatitis; also referred to as non-alcoholic steatohepatitis NASH. NASH may eventually cause liver scarring fibrosis, leading to cirrhosis. Fatty liver disease does not cause symptoms. However, your doctor may find elevated liver enzymes after a routine blood test. Non-alcoholic fatty liver disease is strongly associated with obesity. Excess fat causes insulin resistance and inflammatory signals.