Non-alcoholic Fatty Liver Disease is a common, non serious condition caused by the build up of fat cells within the liver not caused by high alcohol consumption.
Men who take AAS, either TRT or traditional cycling, are at a higher risk for developing fatty liver. My research concludes that this is due in part to increased glycogenesis. I also suspect the increased utilization of cholesterol to add to the increase in liver fat, but there really is not a lot of research on the link between bodybuilding and fatty liver. In fact, I came across this information from a TRT doctor. My understanding is that, on high carb diets and on supraphysiological amounts of Testosterone, muscle glycogen is restored efficiently and rapidly and that excess glucose is transported to the liver. Liver glucose aids in its function and is a normal process, but excess liver glucose storage can lead to a build up of fat in the liver. I assume this behaves in the same manner that excess sugar becomes stored fat. Obviously this is intensified by moderate to high alcohol consumption. In severe cases this can lead to scarring of the liver, followed by cirrhosis.
This led me to the apparently old school, though I'd never heard of it, remedy for post cycle liver clean up.
This protocol is run daily for 30 days. They are classified under B6 Vitamins I believe and are cheap, OTC. Finding the right dosage is not easy, however. Suggested use was for 30 days Post Cycle or every 3 months if on TRT. I don't know about the effect this has on liver enzymes and I don't see it detoxifying the liver from the use of oral steroids, but the overall health of our livers is paramount. This protocol provides another weapon in the arsenal with which to protect ourselves.