Fatty liver, or steatosis, is defined as an excessive accumulation of lipids in the liver replacing liver cells. This can progress to liver cirrhosis. Causes include overfeeding of fats or carbohydrates, increased fatty acid mobilization to the liver from fat depots, decreased fatty acid oxidation, and decreased export of fats from the liver. Lipotropic factors help transport triglycerides from the liver by facilitating phospholipid and protein biosynthesis, such as essential fatty acids, inositol, choline, methionine, and proteins. Antilipotropic factors inhibit this process through interfering with phospholipid and protein biosynthesis, like overfeeding of cholesterol or substances like carbon tetrachloride.