I've got both , most overweight men have fatty liver . Diet will help . The spleen may or may not be a big deal. Mine is is not to bad , I think 11 cm is normal . Only thing I have a problem with is platelet count , should be 150-400ppm , mine has been a low as 40ppm. The enlarged spleen will trap platelets for what ever reason. This can give you problem with clotting. When I had surgery they had to give a transfusion of just platelets .