Question

A 44-year-old with obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) has elevated ALT and Fib‑4 of 1.1. Next best step?

Accepted Answer

Lifestyle modification with weight loss goal ≥7-10%

Answer

Liver biopsy

Answer

Start vitamin E 800 IU/day in all

Answer

Start statin contraindicated with elevated LFTs

Answer

Begin ursodeoxycholic acid

Practice question

A 44-year-old with obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) has elevated ALT and Fib‑4 of 1.1. Next best step?