Fatty Liver Grade 1 There are three different levels of fatty liver: Grade 1, 2 and 3. Grade 1 is the beginning stages of a fatty liver and generally has the fewest symptoms as well as the best prognosis. As fatty liver progresses to Grade 2, Hepatitis and Grade 3, Cirrhosis, the condition gets much more serious and may require hospitalization. Here are some basic facts about Grade 1 Fatty Liver: You may not have any symptoms at all during this stage. You may discover you have fatty liver when you are at your annual check-up and the test results showed elevated liver enzymes. The ALT enzyme will be elevated on the blood test. During Grade 1 Fatty Liver, your body is depositing fat cells around the outside of the liver. This still allows your liver to perform its 300+ functions for the most part since there are billions of liver cells and most of them are still working. The cause of Grade 1 Fatty Liver may be alcohol consumption, medications that have a side effect of cau...