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MASLD AI 05:13 PM
At March 04, 2025
This educational discussion dives into Resmetirom, the first and only FDA-approved therapy for non-cirrhotic metabolic-associated steatohepatitis (MASH) with moderate to advanced fibrosis. The talk provides a clinical deep dive into the progression of MASH and fibrosis, highlighting the risks of untreated disease and the importance of early intervention. A key focus is the thyroid hormone receptor beta mechanism, explaining how Resmetirom directly targets liver-specific pathways to reduce hepatic fat accumulation and fibrosis.
Additionally, the discussion covers the rigorous FDA approval process and dual efficacy endpoints, detailing how Resmetirom achieved significant fibrosis improvement and steatohepatitis resolution in the MAESTRO-NASH trial. The session also provides practical insights into patient access, prescribing considerations, and managing common side effects. With over 2,000 patients studied, Resmetirom has demonstrated a strong safety profile and offers a once-daily oral treatment option that represents a major advancement in MASH management.
This discussion is essential for gastroenterologists, hepatologists, and endocrinologists managing patients with MASH, as well as primary care providers and cardiologists who play a role in identifying at-risk individuals. If you are a healthcare professional looking to stay updated on the latest MASH research and treatment strategies, this session provides the insights you need.
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This video explores comprehensive strategies for managing metabolic-associated steatohepatitis (MASH), focusing on fibrosis risk stratification, lifestyle modifications, and pharmacologic interventions. Learn about dietary recommendations like the Mediterranean diet, exercise guidelines emphasizing resistance training, and the role of intermittent fasting and processed food avoidance. The video also highlights weight loss targets, diabetes management, and emerging therapies such as GLP-1 receptor agonists and bariatric surgery, all aimed at improving liver health and patient outcomes.
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Lifestyle Modifications for Patients With MASH
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In this engaging presentation, Jonathan Yeh, PA, from the Center for Liver Disease and Transplantation at Columbia University, explores the critical role of lifestyle modifications in managing metabolic dysfunction-associated steatohepatitis (MASH). He breaks down the pathogenesis of MASH, explaining how obesity, diabetes, and metabolic dysfunction drive disease progression from steatosis to fibrosis and cirrhosis, and why weight loss and exercise are essential for reversing liver damage. Jonathan highlights the impact of dietary interventions, including the Mediterranean diet, low-carb approaches, and ketogenesis, while emphasizing the importance of calorie restriction over simply eliminating certain food groups. He also discusses the role of exercise, comparing the effectiveness of aerobic training, resistance training, and high-intensity interval training (HIIT) for improving liver health. Surprisingly, research suggests that resistance training may be just as beneficial as aerobic exercise while being more accessible to patients with physical limitations. The discussion also touches on the latest weight loss treatments, including GLP-1 receptor agonists like semaglutide and tirzepatide, which are rapidly transforming obesity management. However, Jonathan underscores that medications alone are not a solution—sustainable lifestyle changes remain the foundation of MASH treatment.
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Management of Life Style Modification
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At Jan 23, 2025
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