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ForumsMASH / Liver DiseaseAlcohol + MASH + GLP-1 — can semaglutide help alcohol-related liver disease? Page 4

Alcohol + MASH + GLP-1 — can semaglutide help alcohol-related liver disease?

Dr.AddMedPHL Mon, May 25, 2026 at 1:39 PM 16 replies 378 viewsPage 4 of 4
claudia_zurich
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May 30, 2026 at 7:20 AM#16
SarahChen_PharmD said:
Dr.AddMedPHL said: ...but the FDA says semaglutide...

Agreed, and ALT falling is not the same as fibrosis improving. Enzymes are a crude proxy; FIB-4 or elastography is what tells you about the thing that matters.

4 2emma_london, tammy_FL, Dr.LipidDallas and 1 other
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TomFromTexas
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May 30, 2026 at 11:43 PM#17

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

How much of the between-person variation is pharmacokinetic and how much is just adherence measured badly?

Last edited: May 31, 2026 at 1:43 AM
5 3Dr.NateNeph, PharmD_Rodriguez, julia.endo and 2 others
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LipidDoc_ATL
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May 31, 2026 at 4:05 PM#18
claudia_zurich said:
Agreed, and ALT falling is not the same as fibrosis improving.

I read this differently. The confidence in this thread is running ahead of the evidence, and I would rather the uncertainty were stated than smoothed over because it is unsatisfying.

6 4AttorneyGrant, DebRD_ATL, KristenIndy and 3 others
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Dr.PeteFamMed
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Jun 1, 2026 at 8:27 AM#19
claudia_zurich said:
Agreed, and ALT falling is not the same as fibrosis improving.

That is right, and it stops being right at the edges. The general case is well behaved; the interesting cases in this thread are all at the boundary where the general case breaks.

7 5Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 4 others
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mike_mod
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Jun 2, 2026 at 12:49 AM#20

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. No action needed from anybody.

Last edited: Jun 2, 2026 at 2:49 AM
29 2PurityPaulOR, MaxMetOK, MounjBrad and 26 others
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