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ForumsMASH / Liver DiseaseMy fatty liver reversal — 6 month update Page 2

My fatty liver reversal — 6 month update

bri_stats Fri, Jun 13, 2025 at 4:29 PM 10 replies 1,516 viewsPage 2 of 2
MikeFit_NJ
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Apr 2024
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Jun 15, 2025 at 3:40 AM#6
NeuroNate said:
Liver enzyme update related to liver and MASH: I had mildly elevated ALT/AST at baseline (likely NAFLD).

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.
16 11LeilaHI, marcus_mpls, DeniseRN_TPA and 13 others
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wendy_avl
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Oct 2024
Asheville, NC
Jun 15, 2025 at 5:44 PM#7
bri_stats said:
ALT was mildly raised at baseline, normalised at month five, and I now have no idea whether anything happened to the fibrosis that actually matters.

Liver imaging follow-up for liver and MASH: FibroScan at baseline showed CAP score 341 dB/m (moderate steatosis) and stiffness 10.8 kPa (possible fibrosis). Diagnosed with NAFLD.

After 15 months: CAP dropped to 244 dB/m (minimal steatosis) and stiffness normalized to 6.199999999999999 kPa. Hepatologist says the liver is essentially healing itself as the metabolic stress resolves.

GLP-1 agonists may become first-line NASH therapy. The Phase 3 data on semaglutide for NASH is very promising.

Last edited: Jun 15, 2025 at 11:44 PM
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Dr.ObesityMed
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Jun 16, 2025 at 7:49 AM#8
MikeFit_NJ 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…

Adding the part of the answer the thread has not reached. The version of this that has an answer is narrower than the version being asked. Narrow it and it becomes tractable; leave it broad and the thread will produce nine confident and incompatible replies.

14 9SurmountFan_IN, PeptideChemSF, A1cHero_PHX and 11 others
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newstart_MO
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Jun 16, 2025 at 9:54 PM#9

A narrower follow-up, since the general answer is now clear:

Was that from a primary source or from a summary of one?

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bri_stats
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May 2024
Seattle, WA
Jun 19, 2025 at 5:31 PM#10

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

Late follow-up. I did not do what was suggested, I did something adjacent, and it worked; posting the difference in case it matters to somebody.

3 1julia.endo, JessicaM_2024, TomFromTexas
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