
From a clinical perspective, the key issue in fatty liver is not whether symptoms are present, but whether fat accumulation is ongoing and whether it has started to affect liver inflammation or metabolic function.

Liver cirrhosis does not usually appear suddenly. It is often the result of long-term changes that gradually build up over time.

Some people delay follow-up because they do not feel unwell. However, changes in liver function markers may suggest that the liver, bile ducts or overall metabolism are under strain.