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Because the prevalence of nonalcoholic fatty liver disease (NAFLD) is high in the general population, the AGA convened a multidisciplinary panel to develop an algorithmic “clinical care pathway” for NAFLD that is appropriate for primary care clinicians.
Identify “at-risk” patients, who fall into these three groups: (1) type 2 diabetes; (2) two or more metabolic risk factors (i.e., central obesity, high triglycerides, low HDL cholesterol, hypertension, prediabetes); and (3) incidental finding of steatosis on imaging or high alanine or aspartate transaminase (ALT or AST) on laboratory testing.
Screen at-risk patients for alcohol use and check ALT and AST …