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ForumsOral GLP-1 AgonistsOrforglipron and hepatic first-pass metabolism Page 4

Orforglipron and hepatic first-pass metabolism

SarahChen_PharmD Mon, Mar 9, 2026 at 7:28 AM 22 replies 441 viewsPage 4 of 5
CarlaRPh_TPA
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Mar 9, 2026 at 1:08 PM#16

Congrats julia.endo!! Keep going — you're doing incredible. 🎉

Last edited: Mar 9, 2026 at 5:08 PM
46 10FDA_TrackerJim, ricardo_MIA, BrianDallas92 and 43 others
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carlos_SATX
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San Antonio, TX
Mar 9, 2026 at 1:25 PM#17

Saving this for reference. Top-tier content.

33 4FranDenver, Dr.BariatricHTX, LindaRN_retired and 30 others
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JennaRN
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Mar 9, 2026 at 1:42 PM#18

Want to share my personal experience related to Orforglipron and hepatic since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 254 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 8 months later: I am down 44 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Orforglipron and aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

7 21BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 4 others
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DoseLogDan
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Feb 2025
Montana
Mar 9, 2026 at 1:59 PM#19

Relevant to Orforglipron and hepatic — here is my latest bloodwork comparison:

Key improvements: A1C 7.2% → 5.3%, triglycerides 215 → 115 mg/dL, hsCRP 6.0 → 0.9 mg/L. All on tirzepatide for 7 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

Last edited: Mar 9, 2026 at 2:59 PM
21 1sophie_paris, mel_PDX, Dr.AddMedPHL and 18 others
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TomFromTexas
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May 2024
Austin, TX
Mar 9, 2026 at 2:16 PM#20

Want to share my personal experience related to Orforglipron and hepatic since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 271 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 14 months later: I am down 51 lbs, my labs have normalized, and I am off 2 of my 3 medications. The Orforglipron and aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

Last edited: Mar 9, 2026 at 4:16 PM
4 16BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 1 other
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