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Chronic Liver Disease in Transition: The Rise of MASLD over NAFLD


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As the worldwide incidence of obesity and subsequent metabolic comorbid diseases increase, so too has the incidence of metabolic-associated steatotic liver disease (MASLD) and metabolic-associated steatohepatitis (MASH). MASH affects over 60 million Americans and is the most rapidly increasing indication for liver transplant in patients without hepatocellular carcinoma (HCC). Despite its increasing prevalence, MASH is still underrecognized in clinical practice. In June of 2023, the American Association for the Study of Liver Diseases (AASLD), on behalf of the pan-national consensus panel, announced a new nomenclature for non-alcoholic fatty liver disease (NAFLD) to destigmatize the name and diagnosis of the disease. The members of the consensus panel identified the term steatotic liver disease (SLD) as an overarching term to encompass the various etiologies of steatosis. Metabolic dysfunction-associated steatotic liver disease (MASLD) was the name chosen to replace NAFLD. Updated clinical guidance places an emphasis on non-invasive risk stratification and diagnostic tests, as well as therapeutic treatment options, and several drugs have been approved for the treatment of MASH-associated comorbidities which may also have potential benefit in MASLD. This case-based session will highlight the role of the pharmacist in increasing access to care for patients with MASLD/MASH through understanding of the destigmatizing nomenclature, importance of early referral for diagnostic testing, and utilizing updated treatment guidelines to select the optimal therapeutic regimen for this patient population.

Release Date: November 12, 2025
ACPE Deadline: October 18, 2028

Publication Year: 2025
Format: Recorded Lecture

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Contents

Chronic Liver Disease in Transition: The Rise of MASLD over NAFLD

  • Unraveling the Terminological Transformation of NAFLD and NASH
  • Beyond the Biopsy: Non-Invasive Approaches to Diagnosis and Long-Term Disease State Monitoring
  • The Changing Landscape of MASLD/MASH Treatment: Insights from the AASLD Guidance Update

Chronic Liver Disease in Transition: The Rise of MASLD over NAFLD

Faculty

Julie M. Sease, Pharm.D., FCCP, BCACP, BCPS, CDCES
Senior Associate Dean and Clinical Professor
University of South Carolina College of Pharmacy
Columbia, SC
Kerri Kraft, Pharm.D., BCPS
Specialist, Clinical Pharmacist
Gastroenterology/Hepatology
Denver Health Medical Center
Denver, CO
Anesia D. Reticker, Pharm.D.
Clincial Pharmacist Specialist
The University of Chicago Medical Center
Chicago, IL

CPE Credit

The American College of Clinical Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Target Audience: Pharmacists

Contents

Chronic Liver Disease in Transition: The Rise of MASLD over NAFLD

Activity Number: 0217-0000-25-111-H01-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives
  1. Investigate the rationale behind the new nomenclature and definition of metabolic-associated steatotic liver disease (MASLD) and metabolic-associated steatohepatitis (MASH).
  2. Examine the most current practice guidance for the management of MASLD/MASH.
  3. Illustrate the role of the pharmacist in improving access to care for patients with MASLD/MASH.
  4. Differentiate the non-invasive tests and biomarkers for diagnosis and long-term disease state monitoring in patients with MASLD/MASH.
  5. Identify the role of glucagon-like peptide-1 (GLP-1) receptor agonists (RAs), glucose-dependent insulinotropic polypeptide (GIP)/GLP-1 RAs, and other newer pharmacologic agents for the treatment of MASLD/MASH.

Commercial Support

The American College of Clinical Pharmacy does not solicit or accept external commercial/financial support for its continuing pharmacy education activities. No commercial/financial support has been solicited or accepted for this activity.