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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMASH / Liver DiseaseHas anyone dealt with what even is mash? my doc mentioned it and i panicked? Page 5

Has anyone dealt with what even is mash? my doc mentioned it and i panicked?

JessicaH_TX Mon, Jun 23, 2025 at 6:36 AM 21 replies 1,461 viewsPage 5 of 5
Dr.NateNeph
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Dec 2023
Houston, TX
Jun 23, 2025 at 1:41 PM#21

Just wanted to say — for anyone reading this Has anyone dealt thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. 💪

Last edited: Jun 23, 2025 at 3:41 PM
31 19JakeSmashed95, NauseaFreeNow, SteveThurs and 28 others
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MikeKY_noInsulin
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1,234
Oct 2024
Louisville, KY
Jun 23, 2025 at 1:58 PM#22

Want to share my personal experience related to Has anyone dealt with what since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 268 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 16 months later: I am down 78 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Has anyone dealt aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

8 22hannah_MT, Dr.SportsMedIN, amy_econ_NJ and 5 others
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hans_munich
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Jul 2024
Munich, DE
Jun 23, 2025 at 2:15 PM#23

Clinical perspective on Has anyone dealt with what even is mash?:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.

For this specific question, I would recommend: getting comprehensive baseline labs first.

Last edited: Jun 23, 2025 at 8:15 PM
22 2Dr.LipidDallas, alex_tucson, kevin_tulsa and 19 others
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NicoleRaleigh
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Aug 2024
Raleigh, NC
Jun 23, 2025 at 2:32 PM#24

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

Last edited: Jun 23, 2025 at 3:32 PM
31 13VendorMark, COA_Karl, MikeFit_NJ and 28 others
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bri_stats
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May 2024
Seattle, WA
Jun 23, 2025 at 2:49 PM#25

Relevant to Has anyone dealt with what — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 201 → 101 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.

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

20 21julia.endo, JessicaM_2024, TomFromTexas and 17 others
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