Attention fatty liver patients: not all fatty liver patients have high blood lipids. Fatty liver is generally divided into two categories, one is alcoholic fatty liver, only a small percentage of these patients may have increased blood lipids. The other category is non-alcoholic fatty liver, the causes of which are more complex, including obesity, diabetes, hyperlipidemia, drugs and genetic factors, as well as about 40% of fatty liver of unknown origin. In other words, even among patients with NAFLD, only a fraction of them have elevated blood lipids. Obviously, taking lipid-lowering drugs for fatty liver patients who do not have high blood lipids does not make any sense for the treatment of fatty liver. Patients with fatty liver should not use lipid-lowering drugs hastily even if they have hyperlipidemia. This is because most lipid-lowering drugs can make the lipids in the blood concentrate in the liver for metabolism, and the liver with fatty liver already has a fat metabolism disorder, so it is more difficult to deal with the sudden arrival of lipids from the blood, and it can only accumulate them in the liver again, which will undoubtedly aggravate the fatty liver. In addition, doctors have observed that long-term abuse of lipid-lowering drugs can lead to portal phlebitis and periportal fibrosis, and can even promote the development of fatty liver to cirrhosis. In alcoholic fatty liver with or without hyperlipidemia, the best treatment option is to stop drinking, mostly without lipid-lowering drugs. In obesity-induced fatty liver and diabetic fatty liver with hyperlipidemia, if no coronary heart disease exists, the main focus should be on diet control, increasing exercise and treating the primary disease. Patients with simple fatty liver can recover without any medication as long as they carefully abstain from alcohol (including beer), limit their weight and change their poor lifestyle.