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. 2023 Jan 7;29(1):126–143. doi: 10.3748/wjg.v29.i1.126

Table 1.

Management of metabolic-associated fatty liver disease directed against the risk factors

No
Disease/condition
Directed therapy
Supportive therapies
1 Overweight and obesity Anti-obesity drugs, Bariatric surgery, lifestyle intervention (Calorie-restriction, dietary pattern, etc.) MAFLD: Newer agents targeting on cellular inflammation and oxidative stress.
2 T2DM Hypoglycemic agents like Metformin, GLP-1RAs, SGLT-2i, Thiazolidinediones and DPP-4 inhibitors Fibrotic MAFLD: Potential future anti-fibrotic agents.
3 > 2 metabolic risks Modulators of metabolism (Farnesoid X receptor agonsit, Peroxisome proliferator-activated receptor, fibroblast growth receptors, statins, aspirin) Cirrhosis Complications: Control portal hypertension and bacterial peritonitis prophylaxis. End-stage liver diseases: Liver transplantation.

T2DM: Type 2 diabetes mellitus; GLP-1RA: Glucagon-like insulinotropic peptide-1 receptor agonist; SGLT-2i: Sodium glucose cotransporter-2 inhibitors; DPP-4: Dipeptidyl peptidase-4; MAFLD: Metabolic-associated fatty live disease.