I am Dr. Shamoon. At 25, with grade 2 fatty liver, raised liver enzymes, high triglycerides and a sedentary fast-food lifestyle, what you actually have is metabolic dysfunction-associated fatty liver disease (MAFLD) - and in your case the driver is insulin resistance from diet, weight and inactivity, not a primary cholesterol disease. That matters, because it changes the answer to your question. For a 25-year-old with no diabetes and no heart disease, a statin is usually NOT the first step for a mildly raised LDL; guidelines look at 10-year risk, and yours will be low. Fenofibrate is generally reserved for triglycerides above roughly 500 mg/dL to prevent pancreatitis - below that, TG in the 200-400 range almost always fall dramatically with weight loss, sugar and alcohol restriction alone. So my honest opinion is: do not start either drug reflexively today. Please also understand two points I see missed often - statins are safe in fatty liver and are not the cause of your enzyme rise, and the raised ALT/AST here is most likely the fatty liver itself, but other causes (hepatitis B and C, thyroid, alcohol, protein supplements or steroids if you use gym supplements) must be excluded before blaming fat. Grade 2 fatty liver at 25 is very reversible - a 7-10% body weight loss can normalise both your enzymes and your triglycerides, and that will do more for you than any tablet.

Kindly do connect and consult for better treatment

Medications required Kindly consult for further advice

Make corrections in diet and life style. Take only statins for beginning,  repeat lipid profile after 12weeks.

Yes

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST. CONSULT SUPERSPECIALIST

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

If you dont want to start lifestyle modifications, then go for medicine. Otherwise its improve more via lifestyle modifications and dietary habits changes.

Your Cholesterol level is within normal limit. You may take only Lipicard (160) -1tab.od.1month,After 1 month report Lipid profile again

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Kindly consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management