Hi. Welcome to HCM and thank you for your question. I carefully read your query. The scenario where triglycerides and/or cholesterol are increased, plus you have a fatty liver disease (hepatosteatosis), is most descriptive for alcoholic liver disease. If you consume alcohol, I would strongly recommend to discontinue its consumption, since the fatty liver disease is found in its early, regressive, stages. If it progresses further, then medical treatment or further complications will be inevitable. A triglyceride count of 430 mg/dL is high, and prompts medical treatment. Since you are under 45 years old, the alcohol discontinuation and some diet and lifestyle changes, tend to bring these figures to normal levels. I suggest you to try these changes for one month, and then run a blood triglyceride level, after 16 hours of fasting. If these levels keep being high, then we can start you on fenofibrate 160 mg 1x1 tb/d. I recommend you to eat more fibres (green leafy vegetables and fruit up to 300 g a day), discontinue alcohol (as said above) and engage in physical activity for at least 60 minutes a day/seven days a week. I hope I was of help. Regards. Dr. Meriton