A 44-year-old man with obesity and persistently abnormal LFTs (ALT AST) has ultrasound showing fatty liver; no alcohol excess. Best initial manageme...

Question

A 44-year-old man with obesity and persistently abnormal LFTs (ALT > AST) has ultrasound showing fatty liver; no alcohol excess. Best initial management?

Accepted Answer

Lifestyle modification with weight loss and exercise

Answer

Start statin immediately

Answer

Start metformin

Answer

Liver biopsy now

Answer

Chelation therapy

mrcgp akt MCQ (SBA): NAFLD management

A 44-year-old man with obesity and persistently abnormal LFTs (ALT > AST) has ultrasound showing fatty liver; no alcohol excess. Best initial management?