3) A 60-year-old woman with type 2 diabetes mellitus, hypertension, and dyslipidemia presents for follow-up. She is overweight and does not exercise. Ultrasound of the liver eight months ago showed fatty infiltration. She denies a history of ascites, lower extremity edema, gastrointestinal bleeding, or hepatic encephalopathy. She does not drink alcohol or use recreational drugs. BMI is 31 kg/m2. Laboratory evaluation shows hemoglobin 12 g/dL, WBC count 4.5 X 103 cells/mcL, platelets 132 X 103/mcL, glucose 142 mg/dL, total bilirubin 1.3 mg/dL, AST 72 U/L, ALT 65 U/L, alkaline phosphatase 152 U/L, albumin 3.6 g/dL, and INR 1.3. A liver biopsy is performed that reveals mild macrovesicular steatosis, hepatocyte ballooning, Mallory-Denk bodies, inflammatory cells, and cirrhosis. What is the most appropriate management at this time?
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