A 59-year-old woman with obesity and metabolic syndrome has mildly elevated liver enzymes and ultrasound evidence of hepatic steatosis. Viral hepatiti...

Question

A 59-year-old woman with obesity and metabolic syndrome has mildly elevated liver enzymes and ultrasound evidence of hepatic steatosis. Viral hepatitis and alcohol misuse have been excluded. She is diagnosed with non-alcoholic fatty liver disease. According to Canadian recommendations, what is the cornerstone of management?

Accepted Answer

Weight loss through diet and physical activity to achieve at least 7 to 10 percent body weight reduction

Answer

Start high-dose vitamin E supplementation alone

Answer

Routine initiation of statin therapy regardless of lipid levels

Answer

Liver transplant evaluation

Answer

Start long-term corticosteroids

ca-mccqe1 MCQ (SBA): Non-alcoholic fatty liver disease