📋 Reference sheet · Liver and gut

Fatty liver (MASLD): FIB-4, ELF and who to refer

Fatty liver on a scan. FIB-4 sorts the ones who need a hepatologist from the ones who do not.

One page, every threshold with its number and unit. Written and reviewed by practising UK GPs. Last reviewed 29 Jul 2026.

This sheet puts the whole decision on one page: the thresholds that change what you do, each with its number and unit, and the sources each one was checked against.

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Inside the full sheet 🔒 Thresholds, numbers and units 🔒 Sources checked against the guideline

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Related Ocean Article: Metabolic dysfunction-associated steatotic liver disease (MASLD) · also Cirrhosis. Part of the GP reference sheets, result interpretation one page per test or finding.