Question

A 60-year-old with obesity, T2D (A1C 7.2%), and presumed MASLD has ALT 58 U/L, ultrasound steatosis, no alcohol use. First-line management?

Accepted Answer

Weight loss with lifestyle modification (>=5-10%) and cardiometabolic risk reduction

Answer

Start vitamin E for all

Answer

Immediate bariatric surgery

Answer

Start high-dose prednisone

Answer

Routine surveillance biopsy

Practice question

A 60-year-old with obesity, T2D (A1C 7.2%), and presumed MASLD has ALT 58 U/L, ultrasound steatosis, no alcohol use. First-line management?