Home > Gastroenterology > Fatty Liver Get the Flash Player to see this player. Rate: (Click the stars to rate) Published on May 24, 2009 by BHudes, Views: 5616 Fatty Liver- Dr Brian Hudes, a gastroenterologist, discusses the different causes of fatty liver. There is a benign fatty liver with increased storage of fat in the liver. When fatty acids build up in the liver and cause breakdown of the liver, this is a more worrisome finding. The metabolic syndrome-central obesity, BMI>30, and high insulin levels- puts you at risk. Weight loss is the treatment.