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ForumsMASH / Liver DiseaseHepatic steatosis grading on ultrasound — July 2024 Page 3

Hepatic steatosis grading on ultrasound — July 2024

traveltech_sara Thu, Dec 19, 2024 at 11:06 AM 28 replies 1,920 viewsPage 3 of 6
anders_CPH
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Feb 2024
Copenhagen, DK
Dec 19, 2024 at 3:21 PM#11

+1 to PurityPaulOR. Especially the point about "Re: Hepatic steatosis grading on — the s..." — I have seen the same in my own experience with Hepatic steatosis grading.

Last edited: Dec 19, 2024 at 7:21 PM
14 20CryptoCarl, MariaRD, AussieAnna and 11 others
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DanielChem_CHI
Senior Member
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Mar 2024
Chicago, IL
Dec 19, 2024 at 3:38 PM#12

Want to share my personal experience related to Hepatic steatosis grading on since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 285 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 18 months later: I am down 40 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Hepatic steatosis aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

29 21Dr.DermMIA, fiona_VT, denise_HTX and 26 others
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mike_mealprep
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Jul 2024
Chicago, IL
Dec 19, 2024 at 3:55 PM#13

Dr.ReproEndo — that is really helpful context on Hepatic steatosis grading. Follow-up question: did you change anything about your diet at the same time?

I am in a similar situation (month 2) and trying to set realistic expectations.

25 20Dr.AddMedPHL, newstart_MO, mia_MS2 and 22 others
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pete_nash
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Aug 2024
Nashville, TN
Dec 19, 2024 at 4:12 PM#14

To answer DanielChem_CHI's question specifically:

From a clinical standpoint, Hepatic steatosis grading on is well-supported by the literature.

The short answer: follow the standard titration protocol and reassess at 4-6 weeks.

The longer answer involves pharmacokinetic considerations around steady-state concentrations, which I am happy to elaborate on if helpful.

Last edited: Dec 19, 2024 at 10:12 PM
2 13SarahChen_PharmD, sarah.morrison
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LipidDoc_ATL
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Apr 2024
Atlanta, GA
Dec 19, 2024 at 4:29 PM#15

Saving this for reference. Top-tier content.

Last edited: Dec 19, 2024 at 9:29 PM
32 21KristenIndy, MarkLI_maint, Dr.PeteFamMed and 29 others
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