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ForumsMASH / Liver DiseaseLiver enzymes normal for the first time in a decade — looking for input Page 3

Liver enzymes normal for the first time in a decade — looking for input

DataDave Sun, Jun 15, 2025 at 2:47 AM 32 replies 1,580 viewsPage 3 of 7
mike_mod
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Jun 15, 2025 at 7:02 AM#11

Moderator note: Please keep vendor-specific discussions in the Vendor Reviews section.

I have cleaned up a few off-topic posts. 👍

9 0PharmHunterJen, TomTeleRx, DoseLogDan and 6 others
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sarah_TO
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Jun 15, 2025 at 7:19 AM#12

As a healthcare provider, I want to add some clinical context to this discussion on Liver enzymes normal for the first time.

Building on what DataDave said — the evidence base here is well-established. The key publications to reference are from the SUSTAIN 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.
33 6Dr.EndoEP, GraceAZ_72, carl_compliance and 30 others
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julia.endo
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Jun 15, 2025 at 7:36 AM#13
mike_mod said:
I have cleaned up a few off-topic posts

Gonna push back on this one. Liver enzymes normal for the first is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But adherence is harder than people admit. We should be honest about that.

28 5hans_munich, jason_sac26, chris_chi24 and 25 others
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Dr.ObesityMed
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Jun 15, 2025 at 7:53 AM#14

Want to share my personal experience related to Liver enzymes normal for the since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 274 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 14 months later: I am down 39 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Liver enzymes normal aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

43 1PeptideChemSF, A1cHero_PHX, Dr.RenalNash and 40 others
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TinaHashiRN
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Jun 15, 2025 at 8:10 AM#15

Saving this for reference. Quality thread.

Last edited: Jun 15, 2025 at 2:10 PM
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