Treatment of non-alcoholic hepatitis and fatty liver disease

Treatment of non-alcoholic hepatitis and fatty liver disease


NASH basically meaning that it’s non-alcoholic
steatohepatitis. There’s another term we typically call it NAFLD, which is basically non-alcoholic
fatty liver disease. So it has two two conditions; one is patients have simple fatty liver. The
other the one we talk about is NASH is basically have the fatty liver and also have the inflammation
in the liver, which mean that in the liver is already get injured because of the fat.
The goal for the treatment for the care is to educate the patient, what they can do and
what they need to do when they have the when they are diagnosed with the fatty liver. We
have more resources that we can use and involves the nutrition and other specialist in terms
of the overall care. And I think the patient education will probably be more important
in the in the care for people with fatty liver disease. Diet is a very big component in the
fatty liver management. The typically in people who have a fatty liver, we recommend the low
carb diet and try to lower the saturated fat. Exercise regularly and try, the goal is trying
to lose weight. It has been studied that if people lose more than seven percent of their
baseline weight, their the inflammation in their liver can significantly improve. The
idea is to get a group of specialties to work on this condition and work with patients.
So patient education is always a a big part in the management for the fatty liver. So
the nutrition part such as the help the patient to regarding their diet and regarding how
to achieve their goal to for the weight loss is important. So nutrition will be a big part
for this team. The other thing is for the internist. Usually that they they are the
the physician who’s managing the patient’s diabetes, high blood pressure or high cholesterol
so those are very important for the patients in with fatty liver as well. As a hepatologist,
our goal is more to coordinate and the other thing more specifically, is to probably use
the medications that specifically target the liver and try to make the liver better. And
the surgeons usually will play a role in this team as well is because when people have the
obesity that cannot be controlled with diet with either diet or the exercise, then the
bariatric surgery probably have a role in this situation to improve their fatty liver.

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