Hello, Most importantly abstinence from alcohol intake is the first thing I advise a patient who comes to my clinic with similar issues. In your case, grade 2 fatty liver and its progression can be controlled with appropriate medicines and dietary habits and stopping consumption of alcohol. There are many things which lead to fatty liver like alcohol consumption, obesity, diabetes, unhealthy dietary habits etc. I would suggest you see your doctor without delay as there is an increase in your SGOT and SGPT as well as a slight increase in serum bilirubin levels which indicates hepatitis. You need to take appropriate treatment with medicines for the same as per your doctor s suggestion to stop further worsening. I would also suggest you follow your dietician s advice on what kind of diet you should be maintained to recover from fatty liver. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manisha Auradkar, General & Family Physician