<human>: Hello Dr. Mintz! I just want to ask what is the connection of Hepatitis B to Fatty Liver? My cousin has a fatty liver and was surprised when her Sgpt and Sgot count did not lower after a month of medication. She is now starting another month of medication with stronger doses of medicine as advised by her physician. Can you please help us find out the cause and possible solution for her problem..?
<bot>: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Hepatitis B do not cause fatty liver at any stage. The relation is if both are present the progression of liver disease is more. For fatty liver:1. If obese or overweight weight reduction is advised by low fat and low caloric diet and regular aerobic exercise for at least 30 minutes per day2. Among the medications' tablet ursodeoxycholic acid and vitamin E are helpful3. Avoid alcohol if you do take. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.