Dear Editor: The accumulation of fatty acids in the hepatocytes, which is caused by different pathophysiologic mechanisms, is known as fatty liver disease. For instance, metabolic syndrome or obesity, in which lipolysis is suppressed as a result of hyperinsulinemia, would consequently provoke non-alcoholic fatty liver disease (NAFLD) or them ore severe non-alcoholic steatohepatitis (NASH). In the long-term, this condition could result in liver cirrhosis.