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What actually matters most
The most important truth is simple: fatty liver often causes no symptoms at all. Many people only find out they have it because of routine blood work, an ultrasound, or an evaluation for diabetes, obesity, or metabolic syndrome. That is why risk factors often matter more than symptom lists.
When to get checked
It is reasonable to ask a doctor about screening or liver testing if you have obesity, type 2 diabetes, metabolic syndrome, high triglycerides, or persistent abnormal liver enzymes. It is also a good idea to get evaluated if you have ongoing fatigue or upper right abdominal discomfort with no clear explanation.