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ForumsMASH / Liver DiseaseHad a FibroScan and do not understand my results - help — looking for input Page 2

Had a FibroScan and do not understand my results - help — looking for input

tane_welly Mon, Jan 20, 2025 at 11:35 PM 40 replies 2,420 viewsPage 2 of 8
VendorMark
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Jan 21, 2025 at 11:42 AM#6
tane_welly said:
The liver data is among the strongest non-weight findings in the class.

ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase 3 ATTAIN trial. NASH resolution was achieved in ~60% of patients[1].

This is relevant to liver and MASH because survodutide's glucagon agonism specifically targets hepatic lipid metabolism — making it potentially the best-in-class agent for NASH/MAFLD comorbid with obesity.

References:
[1] Sanyal AJ, et al. N Engl J Med. 2024.
Last edited: Jan 21, 2025 at 1:42 PM
43 13DebRD_ATL, KristenIndy, MarkLI_maint and 40 others
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lori_vegas
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Jan 21, 2025 at 4:29 PM#7

One thing that is still open after BariatricNurseD’s answer:

How would you tell the difference between that and the alternative explanation?

42 12bbq_ray_KC, oliver_london, tane_welly and 39 others
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Dr.NutriCornell
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Jan 21, 2025 at 9:16 PM#8
VendorMark said:
ATTAIN trial (survodutide) context for liver and MASH: survodutide, a GLP-1/glucagon dual agonist, showed -18.7% body weight at 46 weeks in the Phase…

Liver ultrasound comparison for liver and MASH: my hepatologist ordered serial ultrasounds to track NAFLD regression.

Baseline: "Moderate hepatic steatosis, liver span 17.2cm, echogenic texture consistent with fat infiltration"
Month 8: "Mild steatosis, liver span 15.8cm, improved echogenicity"
Month 14: "Minimal to no steatosis, normal liver span 14.5cm, normal echotexture"

My liver literally shrank and de-fattened. The ultrasound tech said she's seen this pattern increasingly in GLP-1 patients and it's remarkable how consistently the fatty liver resolves.

Last edited: Jan 21, 2025 at 11:16 PM
41 11laura_annarbor, JenMemphis, pat_auckland and 38 others
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tane_welly
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Jan 22, 2025 at 2:03 AM#9

Reporting back.

Update: the thing I was blaming turned out not to be the cause. Leaving the original post as written rather than editing it, so the mistake stays visible for whoever searches this next.

40 10marco_milano, pam_columbus, nick_SD_fit and 37 others
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pam_stl
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Jan 23, 2025 at 1:02 AM#10
Dr.NutriCornell said:
Liver ultrasound comparison for liver and MASH: my hepatologist ordered serial ultrasounds to track NAFLD regression.

No disagreement, though it depends on where somebody is starting from, and this thread has been assuming a starting point nobody stated.

36 9RegAffairsDC, BiostatsBrad, PeptideSynthNJ and 33 others
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