Liver Questions! (#askliver)

It is rec'd to NOT start GLP-1's in pts on Resmetirom. I think ALMOST EVERY pt w/ F2-3 MASH will have a stronger indication for GLP-1 than Resmetirom. What would you start 1st? @IanARowe @ebtapper @SonalKumarMD @DBrandmanMD cghjournal.org/article/S1542-…

#livertwitter pt 70 yo F BMI 19, on simvastatin and hx of hypothyroid found to have severe fatty liver. Peth neg. I checked leptin 1.0 (normal 4.7-23.7). Could this be fam partial lipodystrophy syndrome? Any thoughts? @VilarinhoSilvia @DrLoomba @DrHuangDQ

How often do you test for covert/minimal hepatic encephalopathy? 40% incidence seems high, but it depends on testing. journals.lww.com/ajg/fulltext/2… #livertwitter #GITwitter @ebtapper @AtoosaRabiee @DrCynthiaLevy @DrHarryThomas @GI_Pearls @AmJGastro @AASLDtweets @stevenbollipo

#livertwitter have you seen HBV DNA > 10,000 with HBsAb positive with titer 59.4 mIU/mL? HBeAb positive. Why HBV DNA positive with HBsAb positive? @DrHuangDQ @doctornikkid @LizzieAbyMD @HowardTLeeMD #HBV

Completely asymptomatic donor (spouse) on evaluation found to have ALP of 285 U/L (ULN-98). Normal GGT . Calcium 11.8 me/dl. Otherwise all routine labs normal. What to do next? @LiverFellow @LiverQs @sonalasthana @DeepikaDevuniMD @pummy92 #livertwitter #transplanttwitter

~45 yo with etoh related hepatitis, Lille day 4 responder to prednisolone, no hx adrenal axis issues, ascites prn lvp, minimal diuretics w/ hypoNa #livertwitter #gitwitter @rabataller @ebtapper @singal_ashwani @Dr_Vijay_Shah After a month of prednisolone, do you:

Common scenario in hepatology clinics these days, 75 yo F w PBC has been on Urso 20 years now w ALK Phos 200, Bili 0.3, LSM 5 kPa. What would you do?? @DrCynthiaLevy @CymaBay @IpsenUS @PBCers @KowdleyMd

#livertwitter how do you plan to assess response to rx with #rezdiffra ? @PerspectumGroup @MadrigalPharma @PerspectumGroup @SiemensHealth

Hey #livertwitter Do you do liver biopsy before starting steroids in patients with alcohol-associated hepatitis (AH)?

Been awhile Twitter aka X! Consult today: lactobacillus in the ascitic fluid of a cirrhotic patient with SBP. Takes probiotics at home. I’ve only seen this one other time during residency. Probiotics in cirrhosis - thoughts? #LiverTwitter

Check out this essential learning by @JTGrady02 in our Back to Basics post on Outpatient Management of Cirrhosis, complete with a checklist! #livertwitter #GItwitter #primarycare #MedEd #FOAMed #InternalMedicine aasld.org/liver-fellow-n…

For #HCC surveillance post liver #transplant, are there any scoring systems that your center uses to help frame risk of recurrence + determine surveillance frequency and duration? #livertwitter

A question recently came up about serum AFP testing pre- & post-liver transplant (LT) - If serum AFP is < 10 ng/mL pre-LT (and the patient never had an elevated AFP), would you check their AFP post-LT when evaluating for post-LT recurrence? Any data you use to support this?

Interested in joining an LFN initiative? We are looking for a few liver-loving GI or Transplant Hepatology fellows interested in medical education to write practice TH Board Questions! Apply 👇 🗓️ Deadline: February 11 forms.gle/ycjzm43TeuJrb7… #livertwitter #GITwitter #MedEd

Symptoms - occasional pain abdomen. What’s the Diagnosis ? ⁦@LiverQs⁩ ⁦@LiverFellow⁩ ⁦@drkeithsiau⁩ ⁦@RoyAHep⁩ ⁦@ChengHanNg⁩ ⁦@drnipunverma ⁦@KailashKolhe⁩ #livertwitter #GITwitter

In someone who seroconverted from HBsAg+ to HBsAb+ over 1 year ago with no fibrosis, when do you recommend stopping HCC surveillance? #livertwitter @LTxJournal @LizzieAbyMD @HowardTLeeMD @BrettEFortuneMD @aly_kaplanMD

@DrAnuraagJ @RoyAHep @MaiwallRakhi @DrArunKValsan @stevenbollipo @juanpabloarab @ebtapper @IJGJournal @LiverFellow @LiverQs @ChengHanNg @_LTSI_ Do you use albumin in hospitalised decomp cirrhosis patients with hypoalb? Please be truthful. #livertwitter

How often do you do a colonoscopy on a 25 yo with PSC WITHOUT IBD and NO GI symptoms? @PSCPartners @PSCSupportUK @PSCPartnersCa @ebtapper @DrLiver @AutoImmuneLiver @CholestasisDoc @serperm @AveshThuluvath @LTxJournal @LizzieAbyMD

Overwhelmed by all the lectures and sessions at #TLM23? LFN created a guide for high-yield and ‘hep-interested’ trainee targeted sessions to help create your agenda! See you in Boston!

Post esophageal variceal banding do you routinely give PPI for post banding ulcer prophylaxis? -#GITwitter #livertwitter #liver @drkeithsiau @stevenbollipo @ebtapper @LizzieAbyMD