High Fatty Liver and TRT?

Asking for a friend who is severely out of shape etc. He was on TRT off and on for a few years. He struggles with major depression so he came off because he was self conscious about the size of his testes. His doctor prescribed Clomid so he's been on that for a while now but his testes are still small. (Not a big deal to most anyone but with his depression and lack of a g/f he can't handle it). Anyways, he was wanting to go back on TRT per my recommendations to help him get back in shape and "hopefully" start feeling more human. He's not obese but he is severely overweight. His primary refused to allow him to go back on Test C because his fatty liver levels were severely elevated. He doesn't have the numbers from the bloodwork. Would going back on TRT potentially cause issues with this or is his primary just over reacting?

Thanks in advance