Dear Dr. Roach: I'm a generally healthy 73-year-old man. I recently had blood work done and was incidentally noted to have high liver tests (ALT and AST). My doctor ordered a sonogram, which said that my liver was "diffusely echogenic, consistent with fatty infiltration." I used to have an occasional drink, but I haven't had any alcohol for months. What should I do now?

I did recently start on a statin, and my liver tests were normal before I started on it.

— R.C.

Dear R.C.: With abnormal liver tests and your liver sonogram, I would be concerned that you had metabolic-associated steatotic liver disease. (We used to call this nonalcoholic fatty liver disease.) It's is a very common issue that affects 30% of the population.

Only men who habitually consume less than 2 drinks per day (fo

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