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ForumsMASH / Liver DiseaseGLP-1 hepatoprotection — need advice Page 2

GLP-1 hepatoprotection — need advice

GraceAZ_72 Fri, Apr 24, 2026 at 2:33 AM 9 replies 558 viewsPage 2 of 2
wendy_avl
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Oct 2024
Asheville, NC
Apr 24, 2026 at 3:55 AM#6
GraceAZ_72 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: Apr 24, 2026 at 9:55 AM
44 14SleepFixSam, PurityPaulOR, MaxMetOK and 41 others
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sophie_paris
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Paris, FR
Apr 24, 2026 at 4:27 AM#7

Following on from Dr.NateNeph — and this may be the naive question:

How would you tell the difference between that and the alternative explanation?

43 13CryptoCarl, MariaRD, AussieAnna and 40 others
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Dr.SleepRoch
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Apr 2024
Rochester, MN
Apr 24, 2026 at 4:59 AM#8
wendy_avl said:
Liver ultrasound comparison for liver and MASH: my hepatologist ordered serial ultrasounds to track NAFLD regression.

Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 341 dB/m (moderate steatosis) and stiffness 10.8 kPa (possible fibrosis). Diagnosed with NAFLD.

After 15 months: CAP dropped to 234 dB/m (minimal steatosis) and stiffness normalized to 6.199999999999999 kPa. Hepatologist says the liver is essentially healing itself as the metabolic stress resolves.

GLP-1 agonists may become first-line NASH therapy. The Phase 3 data on semaglutide for NASH is very promising.

Last edited: Apr 24, 2026 at 8:59 AM
42 12Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 39 others
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GraceAZ_72
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Tucson, AZ
Apr 24, 2026 at 5:31 AM#9

Reporting back.

Update: the thing I was blaming turned out not to be the cause. Leaving the original post as written rather than editing it, so the mistake stays visible for whoever searches this next.

Last edited: Apr 24, 2026 at 9:31 AM
41 11JenPlateau, SallyK_inj, CryptoCarl and 38 others
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SleepFixSam
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Nov 2024
Hawaii
Apr 24, 2026 at 8:06 AM#10
Dr.SleepRoch said:
Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 341 dB/m (moderate steatosis) and stiffness 10.8 kPa (possible…

Fair, and it stops being fair at the extremes. The middle of the range is well understood; the ends are where the honest answer is that nobody knows.

Last edited: Apr 24, 2026 at 10:06 AM
35 8fiona_VT, denise_HTX, raj_cambridge and 32 others
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