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Beyond Initial Response

CE / CME

Beyond Initial Response: Long-term Monitoring and Management in MASH

Physician Assistants/Physician Associates: 0.50 AAPA Category 1 CME credit

Nurse Practitioners/Nurses: 0.50 Nursing contact hour

Physicians: maximum of 0.50 AMA PRA Category 1 Credit

Released: July 14, 2025

Expiration: July 13, 2026

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Mr Rodgers returns for a routine follow-up 12 months after his last visit, marking 28 months on incretin-based therapy. He continues to show strong adherence to treatment and lifestyle changes, supported by coordinated care between his hepatology and primary care teams. At this visit, he has sustained a 13% total weight loss, his A1C is 6.3%, liver enzymes are within normal range (ALT 32 U/L, AST 28 U/L), and VCTE shows further improvement in liver stiffness, now at 6.1 kPa. He reports feeling “better than ever,” regularly walking 5 miles per day and maintaining long-term dietary changes. Given this progress, Mr Rodgers asks, “Now that everything looks good, can my primary doctor take over?”  

What is the most appropriate next step in the long-term management of Mr Rodgers?