I didn't see any mention of fructose intake in here. Do you drink a lot of soda, other sugary drinks, or eat a lot of sugar in general? Excessive fructose intake can cause fatty liver disease in teetotalers. Cut out all soda and sweetened beverages, and minimize consumption of sweets in general and even high-fructose fruits and honey. Definitely no agave nectar if you use that (80+% fructose).