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ForumsMASH / Liver DiseaseAlcohol + MASH + GLP-1 — July 2024

Alcohol + MASH + GLP-1 — July 2024

carlos_SATX Sun, Oct 19, 2025 at 3:58 PM 44 replies 1,456 viewsPage 1 of 9
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carlos_SATX
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San Antonio, TX
Oct 19, 2025 at 5:23 PM#1

Hi all, brand new here. My NP just prescribed semaglutide and I have a question about alcohol + mash + glp-1 july.

Sorry if this has been asked before — I did try searching but the amount of information here is overwhelming (in a good way). I am on day 3 and everything is new to me.

Any guidance appreciated. You all seem really knowledgeable and I am glad I found this community.

5 14james_edin, FranDenver, Dr.BariatricHTX and 2 others
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Dr.RenalNash
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Oct 19, 2025 at 5:40 PM#2
carlos_SATX said:
Alcohol + MASH + GLP-1 July 2024

Gonna push back on this one. Alcohol + MASH + GLP-1 July 2024 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: Oct 19, 2025 at 10:40 PM
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KarenAZ_mom
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Oct 19, 2025 at 5:57 PM#3
carlos_SATX said:
Alcohol + MASH + GLP-1 July 2024

This is exactly right. carlos_SATX articulated what I have been trying to explain to my doctor for months. The Alcohol + MASH + GLP-1 aspect is the most important factor.

Last edited: Oct 19, 2025 at 10:57 PM
4 15bri_stats, pete_manc_UK, anna.melb_AU and 1 other
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NurseKim_ATL
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Oct 19, 2025 at 6:14 PM#4

Clinical perspective on Alcohol + MASH + GLP-1 July 2024:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

Last edited: Oct 19, 2025 at 11:14 PM
40 23pete_nash, hank_denver, carlos_SATX and 37 others
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LabKate
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Oct 19, 2025 at 6:31 PM#5
KarenAZ_mom said:
carlos_SATX articulated what I have been trying to explain to my doctor for months

I respect KarenAZ_mom perspective but I think this oversimplifies things a bit. Re: Alcohol + MASH + GLP-1 July — the effect size varies considerably by population.

I am not saying KarenAZ_mom wrong entirely — just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.

31 18labquiet_amy, emily_PDX, Dr.SleepRoch and 28 others
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