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This is totally reversible if weight can be lost. Other common causes of fatty liver includes long-term treatment with cortisone-type drugs or methotrexate, a drug used in some cancer chemotherapy and also commonly used in the treatment of rheumatoid arthritis. People who can't eat and are being maintained on total IV nutrition often develop fatty livers; very severe mainutrition, paradoxically, can also cause this 'liver biopsy' condition. In most cases, the fatty liver does not cause symptoms and is discovered accidentally, 'liver biopsy' or while trying to determine the cause of liver function 'liver biopsy' abnormalities found on routine blood testing. Mild elevations of the enzymes that make up the liver function test are often seen. These may be the alkaline phosphatase and/or the SGOT or SGPT (also know as ALT and AST) test. Mild pain under the ribs on the right are occasionally reported, but I would doubt that the severe pains would come from fatty liver.
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