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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseFibrosis regression on GLP-1 — is scarring really reversible? Page 2

Fibrosis regression on GLP-1 — is scarring really reversible?

Dr.PathRoch Wed, Mar 4, 2026 at 3:14 PM 21 replies 557 viewsPage 2 of 5
emily_PDX
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Nov 2024
Portland, OR
Mar 4, 2026 at 6:04 PM#6

Exactly this. My pharmacist said the same thing about Fibrosis regression.

Last edited: Mar 4, 2026 at 8:04 PM
11 0julia.endo, JessicaM_2024, TomFromTexas and 8 others
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Dr.LipidDallas
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Dec 2023
Dallas, TX
Mar 4, 2026 at 6:21 PM#7

As a pharmacist, I want to add some clinical context to this discussion on Fibrosis regression on GLP-1 is.

Building on what josh_phd_bmore said — the evidence base here is robust. The key publications to reference are from the SELECT program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
9 13wei_SG, cory_ATX, lori_vegas and 6 others
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tyler_CSCS
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Jun 2024
Phoenix, AZ
Mar 4, 2026 at 6:38 PM#8

Reading this thread on Fibrosis regression on hits close to home. Dad of 2 checking in — I started at 269 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 44 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Fibrosis regression — take the leap. It was the best health decision I have ever made. ❤️

Last edited: Mar 4, 2026 at 8:38 PM
13 6Dr.SportsMedIN, amy_econ_NJ, bbq_ray_KC and 10 others
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tommy_boulder
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Nov 2024
Boulder, CO
Mar 4, 2026 at 6:55 PM#9

GenomicsKate — that is really helpful context on Fibrosis regression on. Follow-up question: how long did you wait before increasing your dose?

I am in a similar situation (week 4) and trying to set realistic expectations.

19 5dan_philly, MeganSA_TX, LarryQC_SD and 16 others
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NurseLeah_Nash
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Sep 2024
Nashville, TN
Mar 4, 2026 at 7:12 PM#10

To answer tyler_CSCS's question specifically:

From a clinical standpoint, Fibrosis regression on GLP-1 is a reasonable concern that deserves a thorough answer.

The short answer: the evidence supports this approach for most patients.

The longer answer involves reviewing the specific clinical trial data relevant to your question, which I am happy to elaborate on if helpful.

9 13Dr.NateNeph, PharmD_Rodriguez, julia.endo and 6 others
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