Question

A 55-year-old man with hypertension and obesity is diagnosed with non-alcoholic fatty liver disease on ultrasound and mildly elevated ALT. He drinks less than 10 g alcohol per day and takes no hepatotoxic medications. What is the most important management strategy?

Accepted Answer

Advise weight loss and increased physical activity to achieve at least 7-10% weight reduction

Answer

Commence high-dose corticosteroids

Answer

Start long-term prophylactic antibiotics

Answer

Start paracetamol at maximum dose daily

Answer

No changes; fatty liver is always benign

Practice question

A 55-year-old man with hypertension and obesity is diagnosed with non-alcoholic fatty liver disease on ultrasound and mildly elevated ALT. He drinks less than 10 g alcohol per day and takes no hepatotoxic medications. What is the most important management strategy?