Non-alcoholic steatohepatitis
From IDWiki
Management
- Weight loss is the mainstay of treatment, through calorie restriction with or without exercise
- Patients should avoid heavy alcohol intake
Pharmacologic Therapy
- Pioglitazone can be helpful
- Can consider vitamin E 800 IU/day in NASH without diabetes or cirrhosis
- Do not use metformin, and there is insufficient evidence for GLP-1 agonists
- No recommendations yet for vitamin E in general NASH patients
- No recommendations yet for omega-3 fatty acids
Further Reading
- Chalasani N et al. The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology. 2017;67(1):328-357.
