Eating fructose from whole fruits doesn’t seem to raise liver fat in middle-aged people, even after accounting for things like how much they eat or how active they are — maybe because the natural package of the fruit protects against any downsides of fructose.

Drinking a lot of fruit juice might increase fat in your liver, even if you're not eating too many calories overall.

If you have type 2 diabetes, drinking fruit juice with fructose might affect your liver more than it would for someone without diabetes, possibly leading to more fat building up in the liver.

How much fructose you eat doesn’t seem to affect liver fat in middle-aged adults — it might matter more where the fructose comes from, like fruit versus soda, rather than how much you eat.

Drinking more sugary drinks might increase fat in your liver, especially if you're a middle-aged adult. People who drink the most of these beverages tend to have about 9% more liver fat than those who drink the least, even after accounting for other health and lifestyle differences.

Even if you drink fruit juice with lots of fructose, it doesn’t seem to make your body less sensitive to insulin or worsen fatty liver—once you account for how much you eat overall and how active you are.