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ForumsMASH / Liver DiseaseLiver biopsy changes on semaglutide — November 2025 Page 3

Liver biopsy changes on semaglutide — November 2025

hank_denver Fri, Apr 17, 2026 at 2:54 AM 23 replies 1,081 viewsPage 3 of 5
DanielChem_CHI
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Apr 21, 2026 at 9:34 PM#11
rachel_ABQ said:
The liver data is among the strongest non-weight findings in the class.

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

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KristenIndy
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Apr 23, 2026 at 3:26 AM#12
Dr.MetabolicMD said:
The mechanism that matters here is not stomach emptying, it is central.

That reframing is the part I needed. I will report back once I have actually tried it.

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Dr.GastroMayo
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Apr 24, 2026 at 9:19 AM#13
rachel_ABQ said:
The liver data is among the strongest non-weight findings in the class.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. The trial means are being read too generously in this thread. STEP populations were selected, supported, and titrated by protocol, and the real-world curves are consistently a few points worse. That difference is not noise, it is what happens when you remove the study infrastructure.

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DataDave
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Apr 25, 2026 at 3:13 PM#14

One concrete data point for the thread. With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most threads assume.

Correct me if the detail matters more than I have assumed.

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Admin
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Apr 26, 2026 at 9:07 PM#15

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Thread quality here is what the rules are for. Keep it up.

Last edited: Apr 27, 2026 at 1:07 AM
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