About 1 in 5 people with fatty liver disease have MASH

Testing for liver scarring is the only way to know if your fatty liver disease is actually MASH.

You can have MASH even if your liver enzyme levels are normal.

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PATIENT AMBASSADOR

MASH is pretty much a silent disease.... Scarring can continue to get worse until it becomes cirrhotic.

Norma

Since most people don’t have symptoms, it’s important to test now to know where you stand.

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TAKE OUR POLL

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How likely are you to ask a specialist for a liver scarring test at your next appointment?

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    What kind of tests check for MASH and liver scarring?

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    Blood-based tests

    Blood-based tests like FIB-4, ELF, and ALT/AST can measure liver enzymes and estimate liver scarring severity and the risk of the disease worsening. A liver enzyme test alone cannot diagnose your stage or level of scarring.

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    Imaging & scanning tests 

    Imaging and scanning tests like FibroScan®, MRI, and ultrasound are noninvasive ways to measure liver scarring. These tests can show the level of scarring and the development of cirrhosis.

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    Liver biopsy 

    A biopsy removes a small piece of liver tissue and examines it for signs of damage, including scarring. A liver biopsy can show the stage or level of scarring and the development of cirrhosis.

    Use the Test Request Guide to have a conversation with your liver specialist. A test for liver scarring is the only way to know your disease stage.

    ALT=alanine transaminase; AST=aspartate transferase; ELF=Enhanced Liver Fibrosis; FIB-4=Fibrosis-4; MRI=magnetic resonance imaging.

    PATIENT AMBASSADOR

    I’m planning on pushing for more testing to see where I am now because things change.

    Taylor

    You depend on your liver and now it’s depending on you. If you have MASH or think your fatty liver disease may actually be MASH, talk to your specialist. Your liver health matters, and you’re its best advocate. Don’t stop asking until you’ve been tested. 

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    It can be intimidating to ask your specialist for a liver test

    Sometimes we deprioritize our own knowledge and feelings because we think specialists have all the answers. But a test is the only way to know your MASH status.

    Do any of the statements below sound like something you’ve experienced?

    Choose the one that is most familiar to you. You’ll get advice from a real person living with MASH, a practical tip, and a scripted conversation starter to use at your next appointment.

    There isn’t enough time for me to ask my specialist questions

    My specialist is the expert, so I don’t like to speak up

    My worries aren’t a good enough reason to speak up

    My specialist isn’t listening to me, so I don’t bother trying

    Get the liver testing you need by finding a specialist who is right for you.

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