Surfing the MASH Tsunami

S4-E17.8 - Predictions for the Surfing NASH 6th Anniversary Special


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Surfing the NASH Tsunami celebrates its 3rd anniversary since the debut episode posted on April 15, 2020. The Big Band of Stephen Harrison, Jörn Schattenberg, Louise Campbell and Roger Green get together to reflect on key moments from the podcast’s history as well as predict milestones that will make the highlights in a 6th anniversary special three years into the future.

This final conversation starts with Roger recalling his forecasting roots. He agrees with Stephen that the more we learn about the role the liver plays in the constellation of metabolic disease and other causes of death, the more these diseases will fold back on themselves to create a richly textured understanding of how to treat the holistic patient at both the primary care and specialty level. This idea leads Louise to come back to one of her primary points throughout the podcast. She asserts that poor liver health is the problem and improving it early in life is pivotal. She goes as far as to describe the liver as the primary target for improving society's health and also to save money because improved health leads to lower demand for expensive medications and procedures.

The final question asks the group to consider what will be discussed on the sixth anniversary of Surfing the NASH Tsunami in 2026. Jörn discusses the increased use of treatment pathways. Stephen makes a statement he considers controversial, suggesting that only obeticholic acid and resmetirom will be approved by 2026. He goes on to discuss what this would mean in terms of care strategies and why advances in NITs will become even more important. As the session winds down, Roger asks Stephen to offer the last word of the day in which he replies, Promise. Tune in to the conversation for a special birthday surprise at the end.

If you enjoy the special, have questions or interest around Fatty Liver disease, please let us know your ideas by writing to [email protected] and leaving a review wherever you download the discourse.

Stay Safe and Surf On!


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