Evidence reference

MASLD and everyday eating: every claim and its source

This is the ledger the guides are written from. Each entry says what we claim, what that claim does not extend to, and which source it rests on. It is here so a statement can be checked one claim at a time rather than by reading an article and hoping.

Mediterranean-style everyday cooking with less added sugar and fewer sweetened drinks, which is where current MASLD guidance points. Whether your liver has changed is a clinical question: diagnosis, fibrosis staging and medicines stay with your team.

8 claims · 4 sources · back to MASLD and everyday eating

What we say

Statements this site makes, each with the source behind it.

  1. Current EASL-EASD-EASO guidance recommends improving diet quality in a pattern similar to a Mediterranean dietary pattern, limiting ultra-processed foods rich in sugars and saturated fat, and avoiding sugar-sweetened beverages for adults with MASLD.

    How we use it: This describes a dietary pattern, not a list of curative foods. The site does not claim that a recipe reverses fibrosis or replaces medical management.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c01

  2. AASLD guidance links excess saturated fat, refined carbohydrate and sugar-sweetened beverages with NAFLD/MASLD risk and supports dietary patterns that favour higher fibre and unsaturated fats.

    How we use it: Associations and dietary guidance do not justify a single rigid macronutrient ratio for every reader.

    Sources: AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD · Eating, Diet, & Nutrition for NAFLD & NASH

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c02

  3. For adults with MASLD and overweight, current EASL guidance recommends sustained weight reduction, with different ranges associated with reductions in liver fat, inflammation and fibrosis.

    How we use it: These targets apply in a defined clinical/weight context. The recipe site does not prescribe weight loss, calorie deficits or target weights to all readers.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c03

  4. Normal-weight adults can also have MASLD, and current EASL guidance recommends diet and exercise interventions to reduce liver fat without making weight loss a universal requirement.

    How we use it: Body size alone does not diagnose MASLD and should not be used by the site to infer who has the condition.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD · Diagnosis of NAFLD & NASH

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c04

  5. Doctors diagnose and assess MASLD using medical history, examination and tests; diet response or body weight alone cannot establish diagnosis or fibrosis stage.

    How we use it: The site does not interpret liver enzymes, FIB-4, imaging or other tests and does not distinguish MASL from MASH for an individual.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD · Diagnosis of NAFLD & NASH

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c05

  6. Current EASL guidance does not recommend nutraceuticals for MASLD because evidence of effectiveness and safety is insufficient.

    How we use it: A food site should not market supplements, herbal products, detoxes or cleanses as liver treatment.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c06

  7. Dietary patterns can be adapted to culture and preference; Mediterranean-style guidance describes food-pattern characteristics rather than requiring Mediterranean cuisine at every meal.

    How we use it: The site can translate the pattern into globally available foods without claiming cultural equivalence or one mandatory cuisine.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD · AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c07

  8. Alcohol is a relevant clinical factor in fatty-liver assessment and current guidance discourages alcohol consumption in MASLD, with stricter advice in advanced fibrosis/cirrhosis.

    How we use it: The site does not set a personal safe alcohol allowance or use alcohol intake to diagnose the cause or stage of liver disease.

    Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD · Diagnosis of NAFLD & NASH

    Cite this claim: https://cernere.xyz/conditions/masld-fatty-liver/evidence/#ma-c08

Every source behind this topic

  1. AASLD Practice Guidance on the clinical assessment and management of NAFLD/MASLD
    Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, et al. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023;77(5):1797-1835.
  2. Diagnosis of NAFLD & NASH
    National Institute of Diabetes and Digestive and Kidney Diseases. Diagnosis of NAFLD & NASH (also referred to as MASLD/MASH).
  3. EASL–EASD–EASO Clinical Practice Guidelines on MASLD
    European Association for the Study of the Liver, European Association for the Study of Diabetes, European Association for the Study of Obesity. Clinical Practice Guidelines on the Management of Metabolic Dysfunction-Associated Steatotic Liver Disease. 2024.
  4. Eating, Diet, & Nutrition for NAFLD & NASH
    National Institute of Diabetes and Digestive and Kidney Diseases. Eating, Diet, & Nutrition for NAFLD & NASH (also referred to as MASLD/MASH).

The guides written from these claims