BIO

Lavinia Iordache earned her Masters of Clinical Medical Science from Barry University in Miami and she has been practicing as a Physician Associate in the field of Hepatology for the past 10 years. She completed a one year AASLD fellowship under the guidance of her supervising physicians and she continues to provide care to a complex patient population in an academic environment. She previously attended Medical School in her home country of Romania and graduated Magna Cum Laude from Florida International University with a Bachelor Degree in Biochemistry. She holds a NCCPA certification and is a proud member of several professional associations as well as animal welfare organizations. Her dedication to helping people with liver disease extends to both inpatient and outpatient settings and she has been expanding her clinical practice to include Internal Medicine as well as General Gastroenterology. She values a holistic and patient-centered approach to care and is a big advocate for patient education, always striving to connect with her patients to promote understanding of diseases, build trust and improve outcomes through collaboration. Lavinia is fluent in Spanish and particularly enjoys communicating with her Latin patient population in South Florida as she has a lifelong interest in learning different dialects and connecting with people of various ethnic backgrounds. In her free time, Lavinia particularly enjoys exploring new destinations, she has taste for adventures, unique art galleries and museums, loves cooking and entertaining and she is intentional about pursuing a holistic lifestyle through conscientious choices for a mindful integration of mind, body and soul.

MASLD-MASH Content Featuring Lavinia

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In this comprehensive video, Sherona Bau, NP from UCLA, breaks down the essential hepatology workup for patients with MASLD (formerly NAFLD) and MASH, offering guidance for both primary care providers and GI/hepatology specialists. Drawing from her extensive clinical experience, she outlines a systematic approach to evaluating abnormal liver ultrasound findings—starting with critical labs to rule out chronic liver conditions like hepatitis B, hepatitis C, autoimmune hepatitis, PBC, and hereditary hemochromatosis. Sherona discusses the importance of ordering ANA, AMA, ferritin, serologies, and even specialized labs like the phosphatidylethanol (PEth) test to uncover alcohol-related liver disease that may be overlooked. She emphasizes the need to screen for cardiometabolic risk factors including type 2 diabetes and dyslipidemia and highlights non-invasive tests such as FibroScan and FIB-4 to help identify patients at risk of advanced fibrosis who may benefit from specialist referral. Most importantly, Sherona addresses the fears many patients face around liver disease progression and life expectancy, encouraging early intervention and coordinated care to improve long-term outcomes. This video is a must-watch for any clinician managing steatotic liver disease.

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In this informative episode, Whitney Steinmetz, NP from Presbyterian Medical Group in Albuquerque, NM, explores how to optimize medication strategies for patients with type 2 diabetes who are also living with MASLD and MASH. She discusses why individuals with type 2 diabetes are at significantly higher risk for developing advanced liver fibrosis—highlighting the overlapping metabolic, inflammatory, and insulin-resistant pathways that accelerate liver damage. Whitney breaks down how commonly prescribed diabetes medications—like GLP-1 receptor agonists, SGLT2 inhibitors, TZDs, and dual/triple incretins—impact liver fat, inflammation, and fibrosis progression. She offers practical guidance on selecting therapies that balance glycemic control with hepatic benefits while minimizing polypharmacy. Learn which medications may offer dual cardiometabolic and hepatic advantages, and which should be avoided or used with caution in patients with cirrhosis or advanced fibrosis. Tune in for real-world insights into how advanced practice providers can take ownership of MASH management in diabetes care.

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