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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseFibrosis regression on GLP-1 — looking for input Page 2

Fibrosis regression on GLP-1 — looking for input

oliver_london Mon, Nov 10, 2025 at 9:38 PM 23 replies 1,403 viewsPage 2 of 5
Dr.AddMedPHL
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Nov 11, 2025 at 2:19 PM#6
oliver_london said:
The liver data is among the strongest non-weight findings in the class.

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
ALT65227-56 U/L
AST582610-40 U/L
GGT65349-48 U/L
ALP1057244-147 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.

1 21FitDadDave
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pat_auckland
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Auckland, NZ
Nov 11, 2025 at 8:56 PM#7

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

What would you measure differently if you were starting again?

50 20wanda_boise, NurseAsh_DET, BenResearch_OR and 47 others
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rachel_ABQ
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Albuquerque, NM
Nov 12, 2025 at 3:34 AM#8
Dr.AddMedPHL said:
Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD).

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.
Last edited: Nov 12, 2025 at 8:34 AM
49 19AmyNC_wife, SkepticalSean, Dr.CardioMD and 46 others
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oliver_london
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Nov 12, 2025 at 10:12 AM#9

Closing the loop on my own question.

Late follow-up. I did not do what was suggested, I did something adjacent, and it worked; posting the difference in case it matters to somebody.

48 18jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 45 others
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NurseLeah_Nash
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Nov 13, 2025 at 6:02 PM#10
rachel_ABQ 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…

No disagreement, though it depends on where somebody is starting from, and this thread has been assuming a starting point nobody stated.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Nov 13, 2025 at 7:02 PM
18 16Dr.NateNeph, PharmD_Rodriguez, julia.endo and 15 others
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