### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Dr.,My Dad gets his Sonography done 4 days back and his report is normal except the increased fatties on  Liver.So after that our family doctor (MBBS) suggested him HEPAMERZ tablet twice in a day for 30 days.I need your help, whether hes given him the right medicine for increased fatty liver.

### output:

Hi, How are you? Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once your dad has succeeded in losing some weight. Hepamerz is supposed to be protective for the liver. It does not help in resolving the fatty liver, but MAY protect the liver from undergoing further damage. Hope this helped, and please do not hesitate to contact me for further details - rxsuresh@gmail.com