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The Curbsiders Internal Medicine Podcast

#227 Baffled by NAFLD?

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.83.1K Ratings

🗓️ 27 July 2020

⏱️ 75 minutes

🧾️ Download transcript

Summary

Swim through the sea of acronyms as Dr Scott Matherly (@liverprof) helps us become a little less baffled by the thought of NAFLD. We discuss the initial diagnosis of fatty liver disease, indications for additional evaluation with imaging and/or biopsy, and potential treatment options. With a quarter of the world affected, it’s crucial to understand the various forms of disease and how to counsel patients about this all-too-common condition!

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Credits

  • Written and Produced by: Elena Gibson MD
  • Infographic and Cover Art: Elena Gibson MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Scott Matherly MD

Sponsor: Pediatrics On Call


Sponsor: VCU Health Continuing Education to offer continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • 00:00 Intro
  • 03:15 Guest one-liner; Picks of the Week*
:
  • 08:15 Sponsor
  • 08:50 Case from Kashlak part 1; What is hepatic steatosis?
  • 11:43 NAFLD acronyms and definitions
  • 18:20 Alcohol and Fatty Liver
  • 23:15 Initial Evaluation of NAFLD
  • 35:12 Dr Matherly’s piel to patients with fatty
  • 41:11 NASH/Fibrosis Risk Assessment
  • 48:54 Outcomes in NASH with Fibrosis
  • 51:20 Statins are safe in liver disease
  • 56:15 Treatment Options (surgery, Vitamin E, Pioglitazone, SLGT2 inhibitors and GLP1 agonists; Coffee?!)
  • 71:42 Take home points and Outro

Transcript

Click on a timestamp to play from that location

0:00.0

The Curbsiders podcast is for entertainment, education, and information purposes only.

0:06.8

And the topics discussed should not be used solely to die in a street cure or prevent any

0:09.3

disease or conditions.

0:10.3

For the more that you've used, and statements expressed on the podcast are solely those

0:11.8

of those, and should not be interpreted to reflect the official policy or position of

0:13.9

any entity inside from possible, cash like Morhanswo and affiliate outreach programs.

0:16.7

If indeed, there are any, in fact, there are none.

0:18.5

Pretty much we aren't responsible if you screw up, you should always do your own homework

0:20.3

and let us know when we're wrong.

0:31.0

Well Paul, this was another gigantic episode.

0:35.3

We really did non-alcoholic fatty liver disease from top to bottom.

0:41.5

It was a lot of information.

0:43.7

Dr. Matherly was great as always.

0:47.5

And before we introduce our producer and hear a little bit more about Dr. Matherly, can

0:53.2

you remind the audience what do we do on this show?

0:56.7

And if you wanted to give them any tips on how to live a great life, that would be appreciated

1:01.4

as well.

1:02.4

Yeah, no, sure.

1:03.8

And I think this is the definitive fatty liver episode.

1:07.0

Tips for a great life.

1:08.0

Be kind, cut back on carbs, refine sugar.

1:10.4

We talk about this in the episode.

...

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