Hi myjewelry Up to 20% of American adults have some degree of fatty liver disease. The most common theory behind fatty liver disease is the connection it with Metabolic Syndrome. Insulin resistance causes metabolic syndrome. Metabolic syndrome is abdominal obesity, high blood triglycerides and fatty acids, high blood sugar, high blood pressure, and low HDL cholesterol. Fat (fatty acids, triglycerides) accumulates in liver cells. Fat in liver cells causes inflammation and injure to liver tissue. Your symptoms are very similar to hypoglycemic attack when the level of the blood insulin is getting periodically low. Fatty liver disease and an enlarged spleen maybe silent, but your situation presumes involvement of the other “fatty” organs such as gallbladder or pancreas. So, you have two options: wait and see or take care of your health now. There is no safe medication for fatty liver; therefore, you have to change life-style, eat healing diet, lose weight and improve body composition (belly fat), normalize acid-alkaline balance, restore the friendly intestinal flora, decrease food sensitivity, etc. My ebook, “healthy pancreas, healthy you” has a good deal of information about metabolic syndrome and fatty liver and pancreas. You have exacerbation of the chronic illness now. My advice is to find knowledgeable licensed holistic practitioner for supervision because it is a long fight. Good Luck.