however, if the liver biopsy of a hepatitis C patient shows features of steatohepatitis (fatty liver
), I do measure HOMA and try to sensitize the patient to insulin by weight LOSS through diet and exercise, and consider use of metformin."
And Dr K only tested patients for IR and recommended weight loss if they had fatty liver.
Realistically....how many people will loose weight if they're given no education?
P.S. Notice how neither one mentioned smoking.