I also have had this with similar levels to start with but mine are coming down. My scan said that my liver was very very fatty and I was at risk of it starting to scar.
I stopped drinking and significantly reduced my carb intake, mainly removed all simple carbs and just eat whole grains/much smaller portions.
One method which really works but may not be suitable depending on your current condition is High intensity exercise. There have been various studies that have linked High intensity training to improvements in Non-alcoholic fatty liver diseases and heart function.
The basic principle as I understand it is that you do exercise at a very high intensity for short durations repeatedly (At an intensity that would mean you can’t speak during the exercise period). This means your body is unable to produce enough energy to support your needs and your liver releases some of its stored fat as energy to meet that need. When you do walking or endurance exercise your body is able to convert stored fat from other places slowly so the liver does not need to burn its reserves in this way.
This cane be many many types of exercise including at home:
https://www.bbc.co.uk/programmes/p05w69pz
But the principle is perhaps doing 10 30/60 second very very high intensity sets with a 1 min rest or similar in between. (As you get fitter you can add more – im doing 20 – 30 mins now)
At home you can do star jumps, running on the spot, press ups, squats, burpees, arm raisers with tins of beans in your hands all that kind of thing. At a gym you have many more options.
Either way, I have found it very good to do because even when I can’t get a full exercise session in, I can do 15min HITT at home and still get a small benefit.
The good thing about it, is that it does not matter how fit you are. You can be crazy unfit or already quite fit. Because you work as hard as you are physically able to you still get a benefit as long as you give it everything you have.
The only issue is that it does take will power, if you do it half baked and at a casual pace it wont have the same effect, your body needs to be in “chased by a bear mode”
