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ForumsMASH / Liver DiseaseQuit drinking AND started sema - liver is thanking me — looking for input Page 2

Quit drinking AND started sema - liver is thanking me — looking for input

Dr.LipidDallas Fri, Mar 22, 2024 at 4:23 AM 48 replies 2,428 viewsPage 2 of 10
wendy_avl
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Mar 22, 2024 at 11:14 AM#6

One concrete data point for the thread. With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most threads assume.

Last edited: Mar 22, 2024 at 5:14 PM
31 1SleepFixSam, PurityPaulOR, MaxMetOK and 28 others
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RunnerRach
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Mar 22, 2024 at 1:56 PM#7

One thing that is still open after Dr.LeslieOBGYN’s answer:

Whether normalised enzymes tell you anything about fibrosis, and what the right follow-up measurement is?

30 0MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 27 others
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GenomicsKate
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Mar 22, 2024 at 4:38 PM#8
wendy_avl said:
With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most…

Adding the part of the answer the thread has not reached. If two explanations both fit, the useful question is which one predicts something the other does not. That is answerable; arguing about which sounds more plausible is not.

29 24MarkLI_maint, Dr.PeteFamMed, claudia_zurich and 26 others
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Dr.LipidDallas
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Mar 22, 2024 at 7:20 PM#9

OP back with an update, since a thread like this is useless without one.

Closing this out. What actually changed my mind was the point about waiting for a trend instead of reading a single measurement, which is embarrassing in hindsight and worth saying anyway.

28 23lori_vegas, Dr.PulmRoch, maya_sedona and 25 others
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roxy_nash
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Mar 23, 2024 at 8:20 AM#10
GenomicsKate said:
If two explanations both fit, the useful question is which one predicts something the other does not.

No disagreement, though the timescale matters more than the mechanism here. Most of what looks like a difference in kind turns out to be a difference in how long somebody waited.

8 6kim_atl_prep, sarah_TO, wendy_avl and 5 others
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