JAMA Editors' Summary

JAMA at AHA, Review of MASLD, Primary Biliary Cholangitis, and more

7 snips
Nov 14, 2025
Dr. Stefan Tilg, an experienced hepatologist and author, dives into the intricacies of metabolic dysfunction-associated steatotic liver disease (MASLD). He reveals how modest weight loss can significantly impact liver health—5% for steatosis, 7–10% for inflammation, and up to 15% for fibrosis regression. The discussion also highlights the benefits of a Mediterranean diet and physical activity in improving liver conditions, even without weight loss. Additionally, there's a concise update on primary biliary cholangitis, shedding light on this rare autoimmune disease.
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INSIGHT

Caffeinated Coffee Linked To Lower AF Recurrence

  • The DCAF trial found daily caffeinated coffee lowered recurrent atrial fibrillation after cardioversion compared with caffeine abstinence.
  • This result could change clinical recommendations for coffee drinkers with AFib history.
ADVICE

Use DASH-Patterned Groceries For Short-Term BP

  • Delivering DASH-patterned groceries plus dietitian counseling lowered systolic blood pressure more than equivalent cash stipends at three months.
  • Use home-delivered, medically tailored groceries with counseling to achieve short-term BP and LDL reductions.
INSIGHT

First Oral PCSK9 Shows Large LDL Drop

  • Oral PCSK9 inhibitor enlicitide produced a large LDL reduction (~59.4% difference vs placebo) at 24 weeks in heterozygous familial hypercholesterolemia.
  • This trial introduces the first oral PCSK9 option for this high-risk population.
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