A 60-year-old with obesity and NAFLD risk factors has elevated ALT and ultrasound with hepatic steatosis. After excluding other liver diseases, what i...

Question

A 60-year-old with obesity and NAFLD risk factors has elevated ALT and ultrasound with hepatic steatosis. After excluding other liver diseases, what is a recommended initial management focus per US guidance?

Accepted Answer

Advise lifestyle changes targeting ≥7-10% weight loss; manage metabolic risks

Answer

Start routine vitamin E and pioglitazone in all

Answer

Start ursodiol

Answer

Liver biopsy for all with steatosis

Answer

No intervention until cirrhosis develops

us-abim MCQ (SBA): NAFLD (MASLD)

A 60-year-old with obesity and NAFLD risk factors has elevated ALT and ultrasound with hepatic steatosis. After excluding other liver diseases, what is a recommended initial management focus per US guidance?