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Diagnosis and Management of Non- Alcoholic Fatty Liver Disease

Diagnosis and Management of Non- Alcoholic Fatty Liver Disease

Diagnosis and Management of Non- Alcoholic Fatty Liver Disease

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Goal #1: Determine the<br />

Etiology<br />

Exclude other causes <strong>of</strong> abnormal LFTs<br />

– Alcohol use<br />

– Celiac disease: TTG<br />

– Medications<br />

<strong>and</strong> IgA<br />

– Viral hepatitis: HbSAg & HBV DNA <strong>and</strong> HCV AB &<br />

– Thyroid disease<br />

RNA<br />

– Iron deposition<br />

– Autoimmune liver disease (PBC, PSC, AIH)<br />

disease: iron<br />

• AMA, ANA, ASMA, SPEP<br />

saturation > 45%<br />

ferritin <strong>and</strong> if needed<br />

HFE<br />

– Alpha 1 anti-trypsin<br />

level <strong>and</strong> phenotype

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