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ForumsOral GLP-1 AgonistsOrforglipron and hepatic first-pass metabolism — January 2024 Page 2

Orforglipron and hepatic first-pass metabolism — January 2024

pete_nash Sun, Oct 12, 2025 at 4:01 PM 8 replies 1,129 viewsPage 2 of 2
NeuroNate
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Oct 12, 2025 at 11:55 PM#6
labquiet_amy said:
The liver data is among the strongest non-weight findings in the class.

This is where I part company with the consensus forming above. Small molecule does not automatically mean cheap. Price is set by what the market will bear and by patent life, not by cost of goods, and I would not assume the savings reach patients.

14 9jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 11 others
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BiostatsBrad
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Oct 13, 2025 at 3:01 AM#7

The figures, for anyone assembling their own picture. With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most threads assume.

13 8Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 10 others
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Dr.RheumBOS
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Oct 13, 2025 at 6:07 AM#8
NeuroNate said:
Small molecule does not automatically mean cheap.

Adding the part of the answer the thread has not reached. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.

12 7cory_ATX, lori_vegas, Dr.PulmRoch and 9 others
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MounjBrad
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Oct 13, 2025 at 9:13 AM#9

A narrower follow-up, since the general answer is now clear:

Whether normalised enzymes tell you anything about fibrosis, and what the right follow-up measurement is?

11 6pam_columbus, nick_SD_fit, ben_calgary and 8 others
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pete_nash
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Oct 14, 2025 at 12:06 AM#10

Closing the loop on my own question.

Closing the loop. The answer turned out to depend on the detail I had left out of the opening post, which is a lesson about how to ask rather than about the subject.

15 15sarah.morrison, NeuroNate, JessicaH_TX and 12 others
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