Question

A 58-year-old woman with BMI 31 has hepatic steatosis on ultrasound, ALT 52 U/L, metabolic syndrome, and ruled-out secondary causes. First-line management to improve liver histology?

Accepted Answer

Weight loss targeting >=5-10% with diet and exercise

Answer

Vitamin E for all patients

Answer

Start pioglitazone immediately

Answer

Start ursodiol

Answer

Prednisone taper

Practice question

A 58-year-old woman with BMI 31 has hepatic steatosis on ultrasound, ALT 52 U/L, metabolic syndrome, and ruled-out secondary causes. First-line management to improve liver histology?