Nonalcoholic fatty liver disease (NAFLD) is a condition characterized by significant lipid deposition greater than 5% of the liver weight without any history of excessive alcohol intake. Now it refers to a spectrum of diseases of the liver ranging from steatosis fatty infiltration of the liver to NASH (steatosis with inflammation and hepatocyte necrosis. It is the most common cause of elevated liver enzymes in adults in the United States.¹  The prevalence of NAFLD ranges from 20% to 30% in the Western Population. The prevalence is higher in patients who have metabolic syndrome and in patients with insulin resistance. NAFLD is ...