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ForumsMASH / Liver DiseaseFibrosis regression on GLP-1 — is scarring really reversible? Page 5

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

Dr.PathRoch Wed, Mar 4, 2026 at 3:14 PM 21 replies 557 viewsPage 5 of 5
newstart_MO
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Feb 2026
Springfield, MO
Mar 4, 2026 at 10:19 PM#21

matt_MKE — 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.

48 23bri_stats, pete_manc_UK, anna.melb_AU and 45 others
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Dr.KarenChen
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San Francisco, CA
Mar 4, 2026 at 10:36 PM#22

To answer SleepFixSam'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.

20 14JessicaM_2024, TomFromTexas, mike.trainer_LA and 17 others
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jim_asheville
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Aug 2024
Asheville, NC
Mar 4, 2026 at 10:53 PM#23

Thank you newstart_MO! This is incredibly helpful. Taking this to my next appointment. 🙏

43 14NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 40 others
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hank_denver
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Sep 2024
Denver, CO
Mar 4, 2026 at 11:10 PM#24

Relevant to Fibrosis regression on GLP-1 — 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.

20 5fiona_VT, denise_HTX, raj_cambridge and 17 others
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mel_PDX
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Dec 2024
Portland, OR
Mar 4, 2026 at 11:27 PM#25

Slightly tangential to Fibrosis regression on but newstart_MO reminded me — has anyone else noticed changes in their alcohol tolerance?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

4 8RegAffairsDC, BiostatsBrad, PeptideSynthNJ and 1 other
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