Hello Thanks for writing to HCM Increased ALT indicates liver injury.Increase in ALT may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc. In your case,increased ALT is most likely due to altered lipid profile as you also have fatty liver You need few other investigations like routine hemogram,Random blood sugar(RBS),Lipid profile,GGT .Further investigations can be done if needed. Most commonly fatty liver is due to obesity and sedentary life. Fatty liver is a reversible condition and it can be reversed by diet and life style changes. You may need some medicines after full investigations. It may take 3-4 months to reverse the findings. You should be active in your daily life. You should avoid red meat and high fat milk products. Cook food in olive or canola oil. You should also avoid fried and junk food. Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise. Get well soon. Take Care Dr.Indu Bhushan