NASH vs. NAFLD (what about ASH?): Diagnostic and Treatment Implications
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NASH vs. NAFLD (what about ASH?): Diagnostic and Treatment Implications

NASH vs. NAFLD (what about ASH?): Diagnostic and Treatment Implications

  • Weight loss goal of  10% is best for immediate first level histopathology improvement
  • Moderate exercise may not be enough to effect change in NASH. Vigorous exercise for >150 min/week ideal
  • Vitamin E may be considered for patients with proven NASH with caveats (use natural Vit E)
  • Statins are safe and effective for lipid disorders, not NASH
  • Bariatric surgery is an expensive solution
  • Dietician visits for all patients
  • Consider weight loss contract
  • Fructose free diet
  • Vegetarian diet preferred
  • Mediterranean diet optimal
  • Stop use of plastic water bottles, containers,  bisPhenols

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