A 52-year-old man with obesity (BMI 34 kg/m²), type 2 diabetes and mildly elevated ALT is found on ultrasound to have fatty infiltration of the liver....

Question

A 52-year-old man with obesity (BMI 34 kg/m²), type 2 diabetes and mildly elevated ALT is found on ultrasound to have fatty infiltration of the liver. Hepatitis B and C serology are negative and alcohol intake is moderate. He is asymptomatic. What is the most appropriate initial management strategy?

Accepted Answer

Recommend progressive weight loss through diet and exercise with optimisation of metabolic risk factors

Answer

Commence high-dose vitamin E supplementation

Answer

Start long-term ursodeoxycholic acid

Answer

Schedule liver transplant assessment

Answer

Start prophylactic antibiotics

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