FibroScan® Liver Screening

• Do you consume soft drinks regularly?

• Do you drink alcohol on weekly basis?

• Do you eat sweets or processed food and snacks routinely?

• Do you have a belly or have been gaining weight?

• Do you suffer from Type 2 diabetes, pre-diabetes, high blood pressure, high cholesterol, or high triglycerides?

If you answered "Yes" to one or more of these questions, you may be at increased risk for fatty liver disease (MASLD/NAFLD).

Your liver is one of the most important and hardest-working organs in the body. It performs hundreds of essential functions every day, including:

• Filtering toxins and waste products from the blood

• Processing nutrients from the foods you eat

• Metabolizing medications and supplements

• Regulating blood sugar levels

• Managing cholesterol and triglycerides

• Producing bile to help digest fats

• Storing vitamins, minerals, and energy

• Supporting metabolism and hormone balance

• Helping control inflammation throughout the body

Because the liver is involved in so many vital processes, even mild liver dysfunction can affect overall health. Poor liver health has been associated with:

• Fatigue and low energy

• Weight gain and difficulty losing weight

• Insulin resistance and Type 2 diabetes

• High cholesterol and triglycerides

• High blood pressure

• Heart disease and stroke

• Increased inflammation throughout the body

A healthy liver supports a healthy body. That's why early detection and monitoring of liver disease are so important.

🟢 Healthy Liver - Little to no fat buildup
⬇
🟡 Fatty Liver (Steatosis) - Fat begins accumulating in the liver
⬇
🟠 MASH - Fat + inflammation start damaging liver cells
⬇
🔶 Fibrosis - Scar tissue begins to form
⬇
🔴 Cirrhosis - Advanced scarring affects liver function
⬇
⚫ Liver Failure or Liver Cancer
↓
🏥 Liver Transplant

Fatty liver disease often develops silently, with few or no symptoms in its early stages. When left untreated, excess fat in the liver can lead to inflammation, scarring (fibrosis), cirrhosis, and in some cases liver failure or liver cancer. Early detection allows patients to take action before significant liver damage occurs.

Your liver has an amazing ability to heal itself. Unlike many organs in the body, the liver can often recover from early damage when the underlying cause is addressed. Fatty liver disease and early stages of liver scarring may improve with healthy lifestyle changes, weight management, improved nutrition, and proper medical care. That's why early detection is so important—taking action today may help prevent more serious liver problems in the future. - can be bullet points

FibroScan® measures two important aspects of liver health:

Liver Fat (CAP Score)

The CAP (Controlled Attenuation Parameter) score estimates how much fat is present in your liver. It is measured in decibels per meter (dB/m) and typically ranges from 100 to 400 dB/m.

• Lower CAP scores generally indicate less liver fat.

• Higher CAP scores suggest greater fat accumulation in the liver.

• CAP scores may improve or worsen over time depending on lifestyle and overall metabolic health.

• In most cases, a CAP score below 238 dB/m is considered within the normal range.

Liver Stiffness (kPa Score)

The liver stiffness score measures how stiff or scarred your liver may be. This measurement is reported in kilopascals (kPa).

• Normal liver stiffness values are usually between 2 and 8 kPa.

• Higher values may indicate increasing levels of liver scarring (fibrosis).

• The highest possible FibroScan® result is 75 kPa.

What Your Fibrosis Stage Means

Normal (F0–F1)

• Little to no liver scarring

• Generally considered a healthy or mildly affected liver

Moderate to Severe Fibrosis (F2–F3)

• Increasing levels of liver scarring

• Often associated with fatty liver disease and metabolic conditions

• May improve with weight loss, better nutrition, exercise, and treatment of underlying health conditions

Advanced Fibrosis (F4 – Cirrhosis)

• Significant liver scarring that develops over many years

• May affect liver function and increase the risk of serious complications

• Requires ongoing medical monitoring and treatment

Dr. Bhongir will interpret your liver fat and liver stiffness scores together with your medical history, laboratory results, and overall health to provide a complete picture of your liver health.

Methotrexate is commonly prescribed for conditions such as rheumatoid arthritis, psoriasis, and other autoimmune diseases.

Long-term Methotrexate therapy may increase the risk of liver toxicity (hepatotoxicity), liver fibrosis (scarring), and cirrhosis.

Patients taking Methotrexate may benefit from liver screening. Clinical guidelines recommend considering a FibroScan® examination within the first 6 months of Methotrexate therapy, with the frequency of follow-up screening based on the results and individual risk factors.