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ForumsMASH / Liver DiseaseALT normalization rates on GLP-1 — pooled trial data Page 4

ALT normalization rates on GLP-1 — pooled trial data

BethLabQueen Mon, Jun 8, 2026 at 2:45 AM 20 replies 530 viewsPage 4 of 4
ricardo_MIA
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Jun 8, 2026 at 8:25 AM#16

Just wanted to say — for anyone reading this ALT normalization thread who is feeling discouraged: it gets better. The first 6 weeks are the hardest. Hang in there. 💪

47 14JakeSmashed95, NauseaFreeNow, SteveThurs and 44 others
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Dr.EndoEP
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Jun 8, 2026 at 8:42 AM#17

As a pharmacist, I want to add some clinical context to this discussion on ALT normalization rates on GLP-1 pooled.

Building on what MounjBrad said — the evidence base here is robust. The key publications to reference are from the SELECT program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
33 16james_edin, FranDenver, Dr.BariatricHTX and 30 others
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Dr.SurgeonPGH
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Jun 8, 2026 at 8:59 AM#18
ricardo_MIA said:
The first 6 weeks are the hardest

Gonna push back on this one. ALT normalization rates on GLP-1 is not that straightforward in my experience. I have been on this for 12 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But cost accessibility is a real barrier. We should be honest about that.

Last edited: Jun 8, 2026 at 11:59 AM
22 14PharmHunterJen, TomTeleRx, DoseLogDan and 19 others
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marcus_mpls
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Jun 8, 2026 at 9:16 AM#19

Subscribing to this thread. ALT normalization rates is exactly what I've been researching. 🙏

Last edited: Jun 8, 2026 at 2:16 PM
43 13Dr.PathRoch, mona_PHX, andrew_nyc and 40 others
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mike_nyc
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Jun 8, 2026 at 9:33 AM#20

Reading this thread on ALT normalization rates hits close to home. Night shift nurse — I started at 291 lbs and felt like I would tried everything.

7 months on tirz and I am a different person. Not just the 66 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about ALT normalization — take the leap. It was the best health decision I have ever made. ❤️

Last edited: Jun 8, 2026 at 1:33 PM
29 6CarlaRPh_TPA, steph_laguna, fiona_glasgow and 26 others
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