PT - JOURNAL ARTICLE AU - Sierra, Leandro AU - Liu, Lily AU - Khurana, Akash AU - Patel, Roma AU - Chatterjee, Arjun AU - Firkins, Stephen AU - Simons-Linares, Roberto TI - Reversing fibrosis in metabolic dysfunction–associated steatohepatitis—beyond telling patients to lose weight AID - 10.3949/ccjm.93a.25082 DP - 2026 May 01 TA - Cleveland Clinic Journal of Medicine PG - 279--286 VI - 93 IP - 5 4099 - http://www.ccjm.org/content/93/5/279.short 4100 - http://www.ccjm.org/content/93/5/279.full SO - Cleve Clin J Med2026 May 01; 93 AB - To reverse fibrosis in late-stage metabolic dysfunction–associated steatohepatitis (MASH), guidelines recommend that patients shed at least 10% of their body weight. However, losing this much weight remains a challenge for most patients, especially with lifestyle modifications alone. Moreover, not all patients with MASH are overweight or obese. This review summarizes pharmacologic, surgical, and bariatric endoscopic treatments for MASH to guide primary care physicians and internists.