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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseGLP-1 hepatoprotection — looking for input Page 2

GLP-1 hepatoprotection — looking for input

emma_london Sat, Jan 3, 2026 at 5:22 PM 32 replies 1,569 viewsPage 2 of 7
kate.chem
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Jan 3, 2026 at 9:11 PM#6
emma_london said:
The liver data is among the strongest non-weight findings in the class.

ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase 3 ATTAIN trial. NASH resolution was achieved in ~60% of patients[1].

This is relevant to liver and MASH because survodutide's glucagon agonism specifically targets hepatic lipid metabolism — making it potentially the best-in-class agent for NASH/MAFLD comorbid with obesity.

References:
[1] Sanyal AJ, et al. N Engl J Med. 2024.
37 7steve_okc, dave_SLC, FDA_TrackerJim and 34 others
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lisa_labSD
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Jan 3, 2026 at 10:40 PM#7

One thing that is still open after chris_chi24’s answer:

Was that from a primary source or from a summary of one?

Last edited: Jan 4, 2026 at 1:40 AM
36 6maya_sedona, stefan_berlin, Dr.EM_Chicago and 33 others
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NurseAsh_DET
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Jan 4, 2026 at 12:09 AM#8
kate.chem said:
ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase…

Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD). After 6 months on GLP-1 therapy:

MarkerBaselineCurrentNormal Range
ALT75227-56 U/L
AST482010-40 U/L
GGT65289-48 U/L
ALP957244-147 U/L

FibroScan also improved — liver stiffness from 8.5 kPa to 5.2 kPa. The evidence for GLP-1 agonists in NAFLD/NASH is very promising.

35 5BrianDallas92, labquiet_amy, emily_PDX and 32 others
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emma_london
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Jan 4, 2026 at 1:38 AM#9

Closing the loop on my own question.

Following up because I said I would. I changed one thing, left everything else alone, and waited the full interval before looking. It resolved, and I cannot prove which half of that did it.

Last edited: Jan 4, 2026 at 7:38 AM
34 4JessicaM_2024, TomFromTexas, mike.trainer_LA and 31 others
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pete_nash
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Jan 4, 2026 at 8:47 AM#10
NurseAsh_DET said:
Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD).

Agreed, and the size of the effect matters as much as its existence. Something real and small gets treated here as though it were real and decisive.

Last edited: Jan 4, 2026 at 2:47 PM
2 0sarah.morrison, NeuroNate
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