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ForumsSemaglutide (Ozempic / Wegovy)Semaglutide and MASH — anyone have experience? Page 4

Semaglutide and MASH — anyone have experience?

ChrisMacros Thu, Jan 9, 2025 at 11:57 AM 16 replies 1,692 viewsPage 4 of 4
stefan_berlin
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Jan 13, 2025 at 1:12 PM#16
Dr.LipidDallas said:
ChrisMacros said: ...but the FDA says semaglutide...

Agreed, and ALT falling is not the same as fibrosis improving. Enzymes are a crude proxy; FIB-4 or elastography is what tells you about the thing that matters.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Jan 13, 2025 at 4:12 PM
48 21NeuroNate, JessicaH_TX, KevinCompounds and 45 others
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EndoResFellow
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Jan 13, 2025 at 10:06 PM#17
stefan_berlin said:
Agreed, and ALT falling is not the same as fibrosis improving.

This is where I part company with the consensus forming above. The counter-case has not been addressed. Somebody upthread described the situation that does not fit, and the thread moved on rather than engaging with it, which is the failure mode this board is supposed to avoid.

Last edited: Jan 14, 2025 at 12:06 AM
49 22TinaHashiRN, robert_kc, dan_philly and 46 others
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MaxMetOK
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Jan 14, 2025 at 7:00 AM#18
stefan_berlin said:
Agreed, and ALT falling is not the same as fibrosis improving.

That is right, and it stops being right at the edges. The general case is well behaved; the interesting cases in this thread are all at the boundary where the general case breaks.

Last edited: Jan 14, 2025 at 12:00 PM
50 23DoseLogDan, SleepFixSam, PurityPaulOR and 47 others
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amy_econ_NJ
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Jan 14, 2025 at 3:54 PM#19
stefan_berlin said:
Agreed, and ALT falling is not the same as fibrosis improving.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. Sending this to two other people who asked me the same thing last week.

Last edited: Jan 14, 2025 at 6:54 PM
1 24gary_naperville
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mike_mod
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Jan 15, 2025 at 12:48 AM#20

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Carry on.

Last edited: Jan 15, 2025 at 2:48 AM
23 21PurityPaulOR, MaxMetOK, MounjBrad and 20 others
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