A case!
⚠️11% of patients with incidentally discovered steatosis may be at risk for advanced hepatic fibrosis!
Don't ignore patients with incidentally found steatosis!
Determining degree of fibrosis: NAFLD fibrosis score and FIB-4 are easy, noninvasive, and useful!
Treatment of #NAFLD

Note metformin is ABSENT, since it's NOT an effective therapy for NAFLD!
WEIGHT LOSS is 🔑

7-10% of body weight loss ▶️ 50% regression of liver scarring/fibrosis

> 10% ▶️ >80% regression!!!!
Vitamin D may protect against hepatic inflammation
Vitamin E is recommended in patients with biopsy proven #NASH, except in patients with diabetes.
✅GLP-1 analogues
✅Statins should be given to ALL patients with NASH/NAFLD. They are SAFE even if elevated liver chemistries!!!
✅Coffee! ☕️ ☕️ ☕️ ☕️ ☕️ ☕️ ☕️ ☕️

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with John Damianos, M.D.

John Damianos, M.D. Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @john_damianosMD

24 Oct
Evidence-based approach to #IBS (C and D) from @LinChangMD at @AmCollegeGastro #ACG2021

#GITwitter Image
FGIDs ▶️ DGBIs 🧠 Image
#IBS diagnosis Image
Read 25 tweets
24 Oct
LFD studies are not great (small n, high bias, heterogeneity), but all the studies do suggest that the LFD is a good treatment option for #IBS and can improve global symptoms, pain, and bloating Image
App-based low-FODMAP #diet was found to be more effective (71%) than antispasmodic therapy (61%) in #IBS, even 6 months out Image
Read 12 tweets
24 Oct
Functional abdominal pain (centrally mediated abdominal pain syndrome) by Dr. Brian Lacy at @AmCollegeGastro #ACG2021

#GITwitter #GI #FGID #DGBI Image
A common scenario! Image
Definitions Image
Read 23 tweets
24 Oct
Rationale for #TDM

All TDM should be performed in the context of the clinical disease activity and severity -@IBDMD Image
Philosophy of #TDM Image
Read 23 tweets
24 Oct
Management of post-op Crohn disease with @MRegueiroMD at @AmCollegeGastro #ACG2021

#GITwitter #IBD Image
The natural course of postoperative Crohn disease: it keeps progressing Image
Rutgeert score Image
Read 19 tweets
24 Oct
Preventing complications of #IBD, with the amazing @MLongMD at @AmCollegeGastro #ACG2021

#GITwitter Image
The best treatment is prevention! ImageImage
Case Image
Read 18 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(