Treatment of Fatty Liver
• 10 % weight loss can improve fatty liver and possibly inflammation.
• Metformin and ursodeoxycholic acid are not recommended.
• Statins are safe in patients with fatty liver but whether they can reduce fatty liver is not known.
• Omega-3 fatty acids have been tried
• Pioglitazone is useful in the treatment of biopsy-proven fatty liver with inflammation
• Vitamin E at a dose of 800 IU/day improves liver inflammation
• Use of bariatric surgery for treatment of fatty liver is premature and should be avoided in patients with cirrhosis.
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