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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseALT normalization rates on GLP-1 — looking for input Page 5

ALT normalization rates on GLP-1 — looking for input

bbq_ray_KC Fri, Jan 30, 2026 at 9:54 AM 24 replies 793 viewsPage 5 of 5
RickReta_CO
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Jan 30, 2026 at 4:59 PM#21

gary_naperville — that is really helpful context on ALT normalization rates. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

16 13matt_MKE, Dr.ReproEndo, lucas_SP_BR and 13 others
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lisa_labSD
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Jan 30, 2026 at 5:16 PM#22

To answer TrialNerd_Beth's question specifically:

From a clinical standpoint, ALT normalization rates on is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

39 10maya_sedona, stefan_berlin, Dr.EM_Chicago and 36 others
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hannah_MT
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Jan 30, 2026 at 5:33 PM#23

Thank you RickReta_CO! This is incredibly helpful. Bookmarking for later. 🙏

20 12MaxMetOK, MounjBrad, nick_newbie and 17 others
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Dr.RaviCardio
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Jan 30, 2026 at 5:50 PM#24

Relevant to ALT normalization rates on — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 245 → 115 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.

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

25 11hans_munich, jason_sac26, chris_chi24 and 22 others
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LondonLisa
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Jan 30, 2026 at 6:07 PM#25

Slightly tangential to ALT normalization rates but RickReta_CO reminded me — what is the latest on the oral formulations?

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.

Last edited: Jan 30, 2026 at 8:07 PM
2 4SallyK_inj, CryptoCarl
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