Japanese reseachers recently studied mice. They basically castrated them and then fed them a high fat diet. The high fat was to induce insulin resistance and coupled with the low testosterone, the mice developed fatty liver-like disease.
Interestingly enough, by giving the animals testosterone, they were able to eliminated this issue:
http://www.ncbi.nlm.nih.gov/pubmed/23332447"Testosterone deficiency induces markedly decreased serum triglycerides, increased small dense LDL, and hepatic steatosis mediated by dysregulation of lipid assembly and secretion in mice fed a high-fat diet"
So the bottom line is that if you are showing signs of insulin resistance (high triglycerides, low HDL, high fasting insulin/blood glucose, high A1C, "pattern B", etc.) AND you are low or lowish testosterone, you really need to watch your liver.
I can remember one time when I was low T I had some high liver readings. Perhaps this was the reason...
