Long use of alcohol, non alcohol fatty disease. That would be, you know, hia blood clasterols, or deranged clestorol,. obesity, hypotension, a metabolic cyndrome. They would throw your liver into a fatty storein disease which is early phases of serosis. It's really the early it's givin you an indication that things aren't well. Or you've got chronic fections of the hippotitis infections and long term irritation from obstructions. But ar, whatever the case, you'll get in irritation or damage to the hepato site. So give us a five star rading, or don't give us any at