🧬  Natural History 

NAFLD → NASH → Cirrhosis 🍔 NAFL (fatty liver) 🔥 NASH (inflammation) 🧱 Fibrosis ⚠️ Cirrhosis (scarred liver)

⏳ Why Regular Monitoring?

👁️ Most early-stage NAFLD is silent 📉 Symptoms show up late 🧪 Routine checks help prevent damage 💡 Catch progression before it’s too late

🧾 How to Monitor NAFLD

✔️ Routine blood tests 🩸 ✔️ Metabolic markers 🧬 ✔️ Fibrosis score (FIB-4,   FibroScan) ✔️ BP, sugar, cholesterol checks 🔍

📆 How Often?  (EASL Guideline)

🟢 NAFL (stable): every 2–3 years 🟡 NASH or Fibrosis: every 1 year 🔴 Cirrhosis: every 6 months 🔄 Liver biopsy? Only case-by-case after 5 years

🧠 Don't Ignore Comorbidities!

⚠️ Diabetes ⚠️Dyslipidemia ⚠️ Hypertension ⚠️ Obesity 👉 All increase liver damage risk 🔄 Manage them alongside NAFLD

🧠 Don't Ignore Comorbidities!

⚠️ Diabetes ⚠️Dyslipidemia ⚠️ Hypertension ⚠️ Obesity 👉 All increase liver damage risk 🔄 Manage them alongside NAFLD

💡 Empower Yourself

📚 Know your FIB-4 score 🧘‍♀️ Prioritize lifestyle + liver-safe meds 🩺 Partner with your hepatologist 🔗 Track your liver health annually