How does the presence of nonalcoholic fatty liver disease (NAFLD) impact your choice of csDMARD for RA?

Excellent question and one that comes up often in practice. For the sake of discussion, let's assume hepatitis B and C serologies are negative and there is no suspicion of viral hepatitis.

The presence of NAFLD has a direct impact on my choice of csDMARD for RA in this way: if there is significant l...