Question

A 50-year-old with NAFLD and diabetes asks about statins. ALT 1.5× ULN; no cirrhosis. What should you recommend?

Accepted Answer

Use fibrates instead of statins

Answer

Avoid statins due to liver disease

Answer

Start statin if indicated by risk; NAFLD is not a contraindication

Answer

Delay until ALT normalizes

Answer

Statins only if LDL >190 mg/dL

Practice question

A 50-year-old with NAFLD and diabetes asks about statins. ALT 1.5× ULN; no cirrhosis. What should you recommend?