Like "My physician noticed my liver enzymes have been a bit out of whack. High SGOT and SGPT otherwise known as ALT and AST. Depends on your physicians group. The physician ordered an ultrasound of the liver which was indicative of Fatty Liver. Essentially, I am growing my own foie gras! Bon Apetite! The ultrasound shows a liver that is about 1.5 times it's normal size."