Inclusion Criteria:  All patients both male and female greater than 18 years with radiologic or histologic evidence of fatty liver will be included in the study.  Exclusion Criteria:  Patients with history of fatty liver less than 18 years of age. Patient's with fatty liver consuming alcohol up to greater than one drink per day. All fatty liver patients with other chronic liver disease such as hepatitis B, hepatitis C, primary biliary cirrhosis, primary biliary cholangitis, autoimmune hepatitis, alpha one antitrypsin disease or Wilsons disease superimposed on fatty liver disease.