At this time, there are no treatments that can cure NASH. The main goal of treatment is to control the conditions that are associated with NASH, such as obesity and hyperlipidemia. Several experimental treatments are being studied, but none can be routinely recommended.
Lifestyle measures such as weight reduction are the main stay of treatment but should be done gradually as rapid weight loss has been associated with worsening of liver disease.
The typical course of NASH is still being studied. About a third may progress to fibrosis and about 20% will develop cirrhosis over a period of 9 years.
Picture of normal liver biopsy
Picture of NASH liver biopsy