A 62-year-old man with obesity, hypertension and dyslipidaemia is found to have non-alcoholic fatty liver disease on ultrasound and mildly elevated AL...

Question

A 62-year-old man with obesity, hypertension and dyslipidaemia is found to have non-alcoholic fatty liver disease on ultrasound and mildly elevated ALT. Viral hepatitis and other secondary causes are excluded. What is the most important initial management strategy?

Accepted Answer

Aggressive weight loss through diet and exercise aiming for 7-10% weight reduction

Answer

Commence high-dose corticosteroids

Answer

Start long-term prophylactic antibiotics

Answer

Immediate liver transplantation assessment

Answer

High-dose vitamin E and no lifestyle changes

au-amc MCQ (SBA): Non-alcoholic fatty liver disease

A 62-year-old man with obesity, hypertension and dyslipidaemia is found to have non-alcoholic fatty liver disease on ultrasound and mildly elevated ALT. Viral hepatitis and other secondary causes are excluded. What is the most important initial management strategy?