In transplant candidates with MASLD and/or ALD, what changes—if any—do you make to listing readiness criteria and pre-transplant cardiometabolic optimization to improve outcomes?

We treat these patients as any others who are heading into transplant. Much depends on how ill they are; thus, we recommend optimized nutrition and PT or exercise programs in order to avoid sarcopenia and frailty. We spend a lot of time educating patients and their caregivers regarding potential war...