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ForumsMASH / Liver DiseaseHas anyone dealt with alt normalization rates on glp-1? Page 4

Has anyone dealt with alt normalization rates on glp-1?

laura_annarbor Fri, Jan 9, 2026 at 9:24 PM 23 replies 1,414 viewsPage 4 of 5
AttorneyGrant
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Jan 10, 2026 at 3:04 AM#16

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

10 11Dr.SleepRoch, laura_annarbor, JenMemphis and 7 others
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bbq_ray_KC
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Jan 10, 2026 at 3:21 AM#17

laura_annarbor's experience with Has anyone dealt with alt resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.

The main difference: I titrated faster. But the overall trajectory has been remarkably similar. Down 32 lbs in 7 months.

One thing I would add that laura_annarbor did not mention: the relationship with food fundamentally changed.

45 4MikeFit_NJ, InsuranceTom, WendyG_ATL and 42 others
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Dr.EndoIndy
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Jan 10, 2026 at 3:38 AM#18

Saving this for reference. Quality thread.

7 11marcus_mpls, DeniseRN_TPA, SandraNC_45 and 4 others
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PedsEndoPhilly
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Jan 10, 2026 at 3:55 AM#19

As a healthcare provider, I want to add some clinical context to this discussion on Has anyone dealt with alt normalization.

Building on what laura_annarbor said — the evidence base here is well-established. The key publications to reference are from the FLOW 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.
Last edited: Jan 10, 2026 at 8:55 AM
19 18Dr.LeslieOBGYN, MikeNYC_runner and 16 others
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SkepticalSean
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Maine
Jan 10, 2026 at 4:12 AM#20

Subscribing to this thread. Has anyone dealt with alt is exactly what I've been researching. 🙏

42 17Dr.LipidDallas, alex_tucson, kevin_tulsa and 39 others
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