How to assess liver fibrosis in primary care

A 22-year-old came to my office because he wanted to “get on track” with his health.

He was not in crisis. He did not feel sick. His labs were concerning, but not unusual for primary care: triglycerides in the 250s, a hemoglobin A1C near the diabetic range, elevated blood pressure and central obesity.

Then I reviewed his liver stiffness measurement. F3 fibrosis.

That result was hard to believe. Over time, it prompted me …

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How to assess liver fibrosis in primary care