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From the Editor

April, 2017

  • 29 April

    April 29, 2017


    The first line therapy for type 2 diabetes has long been metformin, and nowadays we are using it for patents who have prediabetes; it is also used “unofficially” by a lot of Weight Loss clinics. A lot of patients who are on metformin progress to insulin, and for many years ...

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April, 2017

Test Your Knowledge

Diagnosing Fatty Liver

When diagnosing suspected nonalcoholic fatty liver disease (NAFLD), hepatic steatosis and inflammation with hepatocellular injury is an indication of which one of the following?


Correct Answer is:  B.  Nonalcoholic steatohepatitis (NASH)

Explanation: The answer is NASH, a condition indicated by the presence of hepatic steatosis and inflammation with hepatocyte injury with or without fibrosis. In some cases, it may progress to cirrhosis and is thought to be a leading cause of cryptogenic cirrhosis. NAFL is indicated in the presence of hepatic steatosis with no evidence of hepatocellular injury.


Matteoni CA, et al. Gastroenterology. 1999;116:1413-1419;

Diagnosing Nonalcoholic Fatty Liver Disease


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