Hello I am Althaf 30 years old. With 115 KG...

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 What is the cause of kidney cyst ? 

1.congenital cyst with no cause
2.previous trauma 
3.renal stone and expelled out from kidney 
4.inflamatory process in kidney 

Does smoking affect this ?

it does not have direct effect in formation of kidney cyst 

How to treat fatty liver ?

1.reduce weight 
2.anticholesterol drugs such as lipitor or crestor 20 once daily 
3.avoid alcoholic drink 
4.avoid crispy food with hydrogenic oils 

What we advice you ?

1.if there is blood in urine you must take antibiotic for infected renal cyst as levoflaxcin 750 once daily for 7 days 
2.otherwise you just want follow up by ultrasound yearly to rule out cystic increased size 
3.lipid profile laboratory test as LDL HDL VLDL TG total cholesterol 
4.we don't advice you to make keto diet as sudden decrease in weight  can cause healthy problems 
5.daily exercisce 
6.low calories food