May 2023

Peer Reviewed Feature Articles
Diabetes

NAFLD in people with type 2 diabetes – improving health outcomes

Babak Sarraf, Elizabeth E. Powell

Nonalcoholic fatty liver disease (NAFLD) is common in people with type 2 diabetes. Assessment of liver disease severity is required in patients with NAFLD to detect those at increased risk of advanced fibrosis who may benefit from ongoing surveillance for liver-related complications.

Obesity

Managing obesity – looking beyond lifestyle interventions

Elizabeth Wootton, Priya Sumithran

Many people with obesity will not achieve sustained weight loss using lifestyle interventions alone. Effective treatment options for obesity are available, and promising new therapies are under investigation in clinical trials.

Peer Reviewed Regular Series
Case studies

A fitness instructor with low testosterone levels

Bu B. Yeap

Abuse of androgenic steroids with resulting low testosterone levels is occurring more frequently. Its evaluation requires a complete history and clinical examination of the patient, and initial management involves cessation of exogenous androgens and counselling, with appropriate follow up.

Physician-authored summaries and commentary on the most important medical research, provided by the NEJM Group, a division of the Massachusetts Medical Society.

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