Fig. 4. Management for post-liver transplant NAFLD.

The cornerstone for management of post-OLT NAFLD is weight loss by lifestyle modifications. When present, metabolic comorbidities should be tightly controlled, with early involvement of consultants for a multidisciplinary approach. Bariatric surgery may be an option for a select few patients. Immunosuppression optimization should focus on protecting the graft but, when feasible, these corrections should be pursued to decrease their side effects.