question: Hi Doctor, Here is what is going on supposedly with my Liver / Gall bladder. Question: What do you think of the medications prescribed and should I be worried about having a fatty Liver ? Is it Genetic? If not what causes it? Thank you The ultrasonography report says that the liver is normal in shape, size and has increased echo pattern. No evidence of focal lesion or intrahepatic binary ducal dilatation. Hepatic and portal vein radicals are normal. Gall bladder, pancreas, spleen, kidneys and urinary bladder are normal in size,shape echo pattern and thickness . prostate is normal shape size and echo pattern normal. Impression : Increased hepatic echo pattern suggestive of fatty infiltration. The latest blood reports say that.... Serum GET (GCNA-IFCC) is 49.00 IU/ml. (Normal range is 15.00 - 85.00) Serum Lipid profile. Total cholesterol (CHOD/POD) is 161 mg/dl. (Normal is less than 200.00) Triglycerides (GPO/POD) is 154.00 mg/dl. (Normal is less than 150) HDL cholesterol (Direct) is 36mg/dl. Normal range is 30.00 to 60.00) VLDL Cholesterol (calculated) is 30.80 mg/dl. Normal range is 10.00 to 40.00) LDL Cholesterol is 94.20 mg/dl. Normal range is below 100. T. chol/HDL cholesterol ratio is 4.47 (normal range is 0.00-6.00) LDL Chol/HDL Chol ratio is 2.6 (Normal range is 0.0-4.0) Serum liver function test report. Bilirubin total (mod. J Groff) is 2.30 mg/dl (normal 0.10-1.20) Bilirubin direct (mod. J Groff) is 0.30 mg/dl .Normal is 0.00 -0.40) SGOT/AST (P5P, IFCC) is 15 IU/ml. (Normal is 15.00 to 37) SGPT/ALT (P5P, IFCC) IS 46 IU/ml. Normal is 10.00--50.00) ALP (p-NPP, Kinetic) is 82 IU/ml. Normal is 53.00--128.00 Total protein (mod Biuret) is 7.40g/dl. Normal is 6.00--8.20) Serum albumin ( BCG-dye) is 4.70g/dl. Normal 3.50--5.20 Serum globulin is 2.70g/dl. Normal is 1.80--3.40 ALB/GLOB (A/G) ratio is 1.74g/dl Normal is 1.10---1.80 Right now the gastroenterologist has recommended the following medicines. Heptathlon 400 mg one tablet in the morning and one night. Udiliv 300mg thrice a day. .Morning, afternoon and night. Sylimarin 140 mg twice a day ...One morning and one night.