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NONALCOHOLIC FATTY LIVER DISEASE
Treatment Guideline Chart

Nonalcoholic fatty liver disease is having excessive hepatic fat (in the form of triglycerides) accumulation not due to excessive alcohol consumption or other secondary causes.

It is considered as a hepatic manifestation of metabolic syndrome.

Progression of nonalcoholic fatty liver disease is variable.

Nonalcoholic%20fatty%20liver%20disease Management

Follow Up

  • Patient’s follow-up schedule may vary depending on local protocol, patient’s response and risk factors
  • After 6 months, evaluate weight loss, exercise, diet and lifestyle changes
  • The following tests should be done twice annually:
    • Complete blood count with platelet count
    • Liver biochemical tests
    • Prothrombin time
  • Depending on risk factors present, do the following every 1-2 years:
    • Screen for cardiovascular risk
    • Liver biopsy or transient elastography
  • Imaging tests should only be done when indicated
  • Screen patients with NASH cirrhosis for gastroesophageal varices 
  • Screen NAFLD patients with suspected cirrhosis for hepatocellular carcinoma
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