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Evidence-based GLP-1 & peptide discussion since 2023
Forumsβ€ΊMASH / Liver Diseaseβ€ΊHas anyone dealt with fibrosis regression on glp-1?

Has anyone dealt with fibrosis regression on glp-1?

JenMemphis Wed, Jan 29, 2025 at 7:21 PM 46 replies 1,810 viewsPage 1 of 10
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JenMemphis
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Jan 29, 2025 at 8:46 PM#1

Has anyone dealt with fibrosis regression β€” I finally have something positive to report and wanted to share.

After 6 months of ups and downs, things are clicking. My latest measurements confirmed what I have been feeling β€” this is working.

Not trying to brag β€” I know everyone's journey is different. Just want to put some positive energy out there for anyone who needs it today. ❀️

49 17MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 46 others
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JennaRN
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Jan 29, 2025 at 9:03 PM#2
JenMemphis said:
Has anyone dealt with fibrosis regression on glp-1?

Gonna push back on this one. Has anyone dealt with fibrosis 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 β€” the medication works. But adherence is harder than people admit. We should be honest about that.

14 2PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 11 others
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BethLabQueen
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Jan 29, 2025 at 9:20 PM#3
JenMemphis said:
Has anyone dealt with fibrosis regression on glp-1?

This is exactly right. JenMemphis articulated what I have been trying to explain to my friends for months. The Has anyone dealt with aspect is what made the difference for me.

29 22lori_vegas, Dr.PulmRoch, maya_sedona and 26 others
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Dr.CardioMD
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Jan 29, 2025 at 9:37 PM#4

Clinical perspective on Has anyone dealt with fibrosis:

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

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

41 2roxy_nash, tony_orlando, Dr.NephBHM_UK and 38 others
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Dr.ObesityMed
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Jan 29, 2025 at 9:54 PM#5
BethLabQueen said:
This is exactly right

I respect BethLabQueen perspective but I think this oversimplifies things a bit. Re: Has anyone dealt with fibrosis β€” the subgroup analyses show meaningful heterogeneity.

I am not saying BethLabQueen wrong entirely β€” just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.

Last edited: Jan 30, 2025 at 3:54 AM
14 1A1cHero_PHX, Dr.RenalNash, LipidDoc_ATL and 11 others
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