• A 10% weight loss can improve fatty liver and possibly inflammation.

• Metformin and ursodeoxycholic acid (UDCA) are not recommended.

• Statins are safe in patients with fatty liver but whether they can reduce fatty liver is not known.

• Omega–3 fatty acids have been tried

• Pioglitazone is useful in the treatment of biopsy–proven fatty liver with inflammation

• Vitamin E at a dose of 800 IU/day improves liver inflammation

• Use of bariatric surgery for treatment of fatty liver is premature and should be avoided in patients with cirrhosis.