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A 10% weight loss can improve fatty liver and possibly inflammation.
Metformin and ursodeoxycholic acid (UDCA) are not recommended.
Statins are safe in patients with fatty liver but whether they can reduce fatty liver is not known.
Omega-3 fatty acids have been tried.
Pioglitazone is useful in the treatment of biopsy-proven fatty liver with inflammation.
Vitamin E at a dose of 800 IU/day improves liver inflammation
Use of bariatric surgery for treatment of fatty liver is premature and should be avoided in patients with cirrhosis.