In short
It depends on your scarring stage. Low-risk people are usually re-checked every 1 to 3 years; people with more scarring are seen more often.
Keep a copy of your results so you can see the trend over time.
- Low FIB-4: repeat FIB-4 every 1–3 years with your family doctor
- Higher scores: follow-up with a liver specialist and repeat stiffness scans
- Cirrhosis: ultrasound about every 6 months for cancer screening
Related questions
- What is the FIB-4 score?
- What is a FibroScan, and how do I prepare?
- Can fatty liver turn into cirrhosis or cancer?
Sources
- EASL–EASD–EASO Clinical Practice Guidelines on the management of MASLD. J Hepatol 2024;81:492–542. Link
- Younossi ZM, et al. Updated global consensus recommendations for risk stratification, treatment initiation, and response monitoring in MASLD. Clin Gastroenterol Hepatol 2026;24(9):2333–47. Link
Last updated 2026-10-03. Based on international and Saudi guidelines. Education only: it does not replace your doctor. Read the disclaimer.