OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Alcohol + MASH + GLP-1 .
To answer Dr.RenalNash: yes, I am on compounded sema from a 503B pharmacy.
Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏
Relevant to Alcohol + MASH + GLP-1 July — here is my latest bloodwork comparison:
Key improvements: A1C 8.4% → 5.5%, triglycerides 221 → 91 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.
The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.
carlos_SATX said:Thank you all for the thoughtful replies on Alcohol + MASH + GLP-1
This is exactly right. carlos_SATX articulated what I have been trying to explain to my friends for months. The Alcohol + MASH + GLP-1 aspect is what made the difference for me.
Slightly tangential to Alcohol + MASH + GLP-1 but KarenAZ_mom reminded me — does anyone have experience combining this with metformin?
I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.