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The excess build-up of fat in the liver cells is called fatty liver. The presence of more than 5 % fat in the liver cells is considered fatty. The causes of fatty liver are obesity, too much fat around the waist, insulin resistance, more consumption of refined carbohydrates, imbalance in stomach bacteria, and alcoholism. Some of the symptoms are fatigue, pain or fullness in the right side of the abdomen, high levels of insulin, liver enzymes, and triglycerides. Fatty liver that results from non-alcoholic causes can lead to a more serious liver disease called non-alcoholic steatohepatitis (NASH). To promote loss of liver fat, cut back on carbohydrates, reduce the calorie intake, and get regular exercise.