A man of 40 years of age is diagnosed with slightly elevated transaminases. His BMI is 29 kg/m2, waist circumference 105 cm. Blood pressure is normal. Fasting glycaemia is 95 mg/dL, triglycerides 203 mg/dL, HDL cholesterol 35 mg/dL. FIB 4 is 1.94. Ultrasound shows liver steatosis with a CAP value of 325 dB/m and a VCTE of 8.9 kPa. He smokes a few cigarettes per day, drinks a lot of strong coffee, but doesn’t drink any alcohol. The patient is considered at risk for having fibrotic NASH.
