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ForumsMASH / Liver DiseaseMASH prevalence in GLP-1 users — November 2025

MASH prevalence in GLP-1 users — November 2025

tampaLisa73 Wed, Jun 4, 2025 at 3:50 AM 44 replies 2,251 viewsPage 1 of 9
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tampaLisa73
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Jun 4, 2025 at 3:50 AM#1

Fatty liver on an incidental scan two years ago and nobody followed it up. Now that I am losing weight I would like to know what to re-measure.

What I am after is whether normalised enzymes tell you anything about fibrosis, and what the right follow-up measurement is.

I have searched first, so if this is covered somewhere point me at it and I will read it.

26 21RunnerRach, TrialNerd_Beth, HPLC_Greg and 23 others
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LabKate
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Oregon
Jun 4, 2025 at 4:31 AM#2
tampaLisa73 said:
Fatty liver on an incidental scan two years ago and nobody followed it up.

Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 331 dB/m (moderate steatosis) and stiffness 9.8 kPa (possible fibrosis). Diagnosed with NAFLD.

After 11 months: CAP dropped to 234 dB/m (minimal steatosis) and stiffness normalized to 5.2 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: Jun 4, 2025 at 7:31 AM
25 20laura_annarbor, JenMemphis, pat_auckland and 22 others
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Dr.GutHealth
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Jun 4, 2025 at 5:12 AM#3
LabKate said:
Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 331 dB/m (moderate steatosis) and stiffness 9.8 kPa (possible…

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
ALT71237-56 U/L
AST592710-40 U/L
GGT66359-48 U/L
ALP1067344-147 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.

24 19jennifer_SEA, tyler_CSCS, VanRx_Mike and 21 others
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ricardo_MIA
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Jun 4, 2025 at 5:53 AM#4
tampaLisa73 said:
Fatty liver on an incidental scan two years ago and nobody followed it up.

Same pattern here, and in the same order.

Last edited: Jun 4, 2025 at 10:53 AM
23 18KetoKyle, CanadaChris, ZaraB_AL and 20 others
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julia.endo
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Jun 4, 2025 at 9:43 AM#5

Adding the clinical framing, because it changes how the question reads.

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: Jun 4, 2025 at 3:43 PM
22 17chris_chi24, tampaLisa73, KarenAZ_mom and 19 others
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