Fatty liver and liver fibrosis
Fatty liver is closely linked with diabetes, abdominal obesity, triglycerides and metabolic risk. The important question is whether inflammation or fibrosis is present.
- Lifestyle treatment targets sustainable weight, activity and metabolic control.
- FIB-4 can help identify who may need further fibrosis assessment.
- A normal or mildly raised liver enzyme does not rule fibrosis in or out.
- Alcohol, medicines and viral hepatitis should be reviewed.