Question

A 55-year-old overweight man with type 2 diabetes has persistently elevated alanine transaminase and ultrasound-confirmed fatty liver. He drinks minimal alcohol. What is the most important initial management?

Accepted Answer

Structured weight loss and lifestyle modification

Answer

Start high-dose corticosteroids

Answer

Immediate liver transplant assessment

Answer

Stop all statins to protect the liver

Answer

Advise high-protein diet to reverse steatosis

Practice question

A 55-year-old overweight man with type 2 diabetes has persistently elevated alanine transaminase and ultrasound-confirmed fatty liver. He drinks minimal alcohol. What is the most important initial management?