Question

A 60-year-old woman with NAFLD and metabolic syndrome asks about statins for primary prevention (ASCVD risk 14%). LFTs mildly elevated (ALT 58). Recommendation?

Accepted Answer

Initiate moderate-intensity statin; NAFLD is not a contraindication

Answer

Avoid statin due to LFTs

Answer

Start ezetimibe only

Answer

Use red yeast rice instead

Answer

Delay therapy until ALT normalizes

Practice question

A 60-year-old woman with NAFLD and metabolic syndrome asks about statins for primary prevention (ASCVD risk 14%). LFTs mildly elevated (ALT 58). Recommendation?