Welcome BHoffner. You asked about the safely of keto pills. I moved your message to this existing discussion about keto pills where other members caution about their use. Before taking any supplements, it is best to talk to your doctor and/or a professional dietician, especially since you have non-alcoholic fatty liver disease (NAFLD).

Here's an article about keto and NAFLD that may be of interest.
- Fatty liver disease and keto: 5 things to know https://www.dietdoctor.com/low-carb/guides/fatty-liver-disease

Do you follow a low carb, healthy fat diet?