“…A high fat, high sugar diet ( Adams and Lindor, 2007 ), genetic predisposition ( Anstee and Day, 2015 ; Liu et al, 2013 ) and alcohol abuse ( Magdaleno et al, 2017 ) are clear risk factors for FLD, but these risks alone do not account for the steep rise in FLD incidence, nor do they provide an explanation for all FLD cases. Epidemiological studies have shown that multiple environmental and anthropogenic toxicants cause liver disease in humans ( Das et al, 2010 ; Islam et al, 2011 ; Mazumder, 2005 ; Santra et al, 1999 ), and work in rodents ( Ditzel et al, 2016 ) and zebrafish ( Cheng et al, 2016 ) have demonstrated a direct, causative relationship between some environmental toxicants and FLD ( Al-Eryani et al, 2015 ; Wahlang et al, 2013 ). The combination of epidemiological and basic research on environmental toxicants and metabolic disease is rapidly advancing, yet the scope of the problem and the mechanisms of toxicity are not yet clear.…”