What is the first symptom of fatty liver disease?

The first symptom of a fatty liver is malaise. Malaise is a general discomfort or uneasiness. You feel like you’re coming down with something. Malaise isn’t specific to a part of the body. It’s kind of an all-over feeling that’s very vague. You may feel a little bit of weakness.

Your immune system has been activated. There are cytokines that are activating the immune system at a certain level. Not enough for an infection, but just enough to make you feel like you’re coming down with something. The second symptom of a fatty liver can be right shoulder pain. If your gut sticks out to where you can’t see your feet when you look down, you may have a fatty liver. 

A few other causes of malaise:

• Infection 

• Low blood sugar

• Caffeine withdrawal 

• Flu