I supposedly have NASH. Or NAFLD. My doctor doesn’t seem too concerned, I think, because my lab results had been just over the ‘normal range’. I am female, nearly 78, overweight by < 10 lbs ( it fluctuates). Prediabetic but again numbers are just over the recommended range. My last physical was in November & the lab values were stable (ie didn’t go up) so I’m not sure if I should be worried. Unfortunately my primary MD now works 3 days a week so I was seen by a PA. The previous year my MD said lose some weight ( I did but it fluctuates (depends on what I eat). No bread etc my weight goes down fast. I started taking milk thistle and drink more green tea, 1 cup of low caffeine coffee ( only in cold weather); I am going to start drinking buckwheat tea ( yes I never heard of it either so I hope I like it). I only take levothyroxcin & Amlodopine low doses . B12, Lutein with no zinc. No other vitamins, my doctor says get your vitamins from real food. My next physical isn’t until December so I have a few months to lose 10 lbs & see if the tea etc have any effect. I do think the milk thistle brought my enzyme numbers down. Good luck