Question

A 52-year-old with metabolic risk factors has incidentally discovered steatosis and elevated ALT. Viral hepatitis tests are negative. What is the best first-line management?

Accepted Answer

Lifestyle intervention targeting weight loss of >=5-10%

Answer

Start vitamin E for all

Answer

Start ursodeoxycholic acid

Answer

Begin routine pioglitazone

Answer

Schedule liver biopsy immediately

Practice question

A 52-year-old with metabolic risk factors has incidentally discovered steatosis and elevated ALT. Viral hepatitis tests are negative. What is the best first-line management?