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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseMASH resolution without worsening fibrosis — looking for input Page 2

MASH resolution without worsening fibrosis — looking for input

PeptideSynthNJ Wed, Jul 2, 2025 at 8:50 AM 40 replies 1,673 viewsPage 2 of 8
kate.chem
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Jul 3, 2025 at 9:50 AM#6
PeptideSynthNJ said:
The liver data is among the strongest non-weight findings in the class.

Liver ultrasound comparison for liver and MASH: my hepatologist ordered serial ultrasounds to track NAFLD regression.

Baseline: "Moderate hepatic steatosis, liver span 17.2cm, echogenic texture consistent with fat infiltration"
Month 8: "Mild steatosis, liver span 15.8cm, improved echogenicity"
Month 14: "Minimal to no steatosis, normal liver span 14.5cm, normal echotexture"

My liver literally shrank and de-fattened. The ultrasound tech said she's seen this pattern increasingly in GLP-1 patients and it's remarkable how consistently the fatty liver resolves.

Last edited: Jul 3, 2025 at 12:50 PM
23 18steve_okc, dave_SLC, FDA_TrackerJim and 20 others
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andrew_nyc
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Jul 3, 2025 at 7:48 PM#7

Following on from julia.endo — and this may be the naive question:

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

22 17Dr.NateNeph, PharmD_Rodriguez, julia.endo and 19 others
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Dr.ReproEndo
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Jul 4, 2025 at 5:46 AM#8
kate.chem said:
Liver ultrasound comparison for liver and MASH: my hepatologist ordered serial ultrasounds to track NAFLD regression.

Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD). After 7 months on GLP-1 therapy:

MarkerBaselineCurrentNormal Range
ALT70277-56 U/L
AST632310-40 U/L
GGT90359-48 U/L
ALP1108244-147 U/L

FibroScan also improved — liver stiffness from 9.5 kPa to 6.2 kPa. The evidence for GLP-1 agonists in NAFLD/NASH is very promising.

21 16Dr.EndoEP, GraceAZ_72, carl_compliance and 18 others
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PeptideSynthNJ
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Jul 4, 2025 at 3:44 PM#9

OP back with an update, since a thread like this is useless without one.

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: Jul 4, 2025 at 7:44 PM
20 15MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 17 others
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tammy_FL
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Jul 6, 2025 at 3:35 PM#10
Dr.ReproEndo said:
Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD).

Agreed, with the usual condition: that holds for the average and this board is a collection of individuals. A population claim and a personal prediction are different things and get quoted interchangeably.

36 9mike_mealprep, NicoleRaleigh, james_edin and 33 others
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