For fatty liver, the best approach is healthy lifestyle changes. Eat a balanced diet low in sugar and unhealthy fats, exercise regularly, maintain a healthy weight, and avoid alcohol. For constipation, increase fibre, fluids, and activity, and use gentle laxatives only if your doctor advises. Taking the hepatitis B vaccine is recommended if you have not had it, as it protects your liver from infections that can make liver problems worse.

Pain in both kidneys, along with fatty liver, may indicate an interlinked metabolic issue, as fatty liver can sometimes increase oxalate production, a primary component of kidney stones. You should consult your doctor or urologist promptly to determine whether the pain is due to stones, infection, or swelling, as your current medications and supplements require careful medical coordination to protect your organs.