Can You Have Fatty Liver With Normal Liver Enzymes?

You just got your blood test results — and everything looks “normal.”
ALT? Normal. AST? In range.
But your ultrasound still says: Fatty liver present.

Confused? You’re not alone.
This is one of the most common and most misunderstood situations with NAFLD.

💡 Even if your labs look fine, fatty liver can still silently grow.
👉 Start reversing it naturally with this proven protocol →


🧪 Why Liver Enzymes Can Be Normal Even If You Have Fatty Liver

Your liver enzymes — ALT (Alanine Aminotransferase), AST (Aspartate Aminotransferase), and GGT — are released when liver cells are injured.

But in early-stage NAFLD, the liver is still functional — even while it’s quietly accumulating fat.

So:

  • Fat is present, but no major inflammation = enzymes still “normal”
  • This is often called silent NAFLD

🟡 Think of it like a balloon being filled:
You won’t see signs of stress until it’s close to bursting.


📌 Ultrasound Catches What Bloodwork Can Miss

An ultrasound can detect fat as early as 5–10% infiltration, even before enzyme levels rise.

This is why doctors now recommend imaging scans (like ultrasound or FibroScan) — especially if you have:

  • Belly weight gain
  • High cholesterol or triglycerides
  • PCOS, thyroid, or blood sugar issues
  • Family history of fatty liver

❓ Does “Normal ALT/AST” Mean You’re Safe?

Not necessarily.

ScenarioRisk Level
Normal enzymes + no symptomsMild → Moderate risk
Normal enzymes + insulin issuesModerate → High risk
Normal enzymes + scan shows Grade 2–3High risk if left untreated

Even with normal labs, fatty liver can silently progress toward NASH (inflammatory damage) or fibrosis over time.


✅ What To Do If This Is Your Situation

You have an advantage: early detection.

Now is the time to:

  1. Clean up your plate
    • Cut soda, bakery carbs, added sugar
    • Eat more cruciferous veggies, flaxseed, garlic
  2. Walk daily (30 mins minimum)
    • Helps reduce liver insulin resistance
  3. Support your liver with natural herbs
    • Turmeric, dandelion, milk thistle, choline

This U.S.-based liver support plan puts it all together →


🧬 Extra Labs That Can Catch Hidden Issues

Ask your provider about:

  • Fasting insulin + HOMA-IR → reveals hidden insulin resistance
  • Ferritin → elevated in liver stress
  • Vitamin D, B12, and magnesium → often low in NAFLD patients
  • Liver FibroScan → a non-invasive stiffness scan if available

💬 Real Reader Insight

“My liver enzymes were totally normal, but I had some belly weight and digestion issues. I asked for an ultrasound — came back with Grade 1 fatty liver. I’m so glad I didn’t ignore it.”
Josh B., Pennsylvania


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🛡 Final Word

Just because your blood test says “normal” doesn’t mean your liver is fine.
Fat can still be there — quietly growing.
And the best time to reverse it… is right now.

👉 Take the first step with this natural reversal plan trusted across the U.S. →