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performed a systematic review and meta-analysis of GLP-1-based therapies on MASLD/MASH outcomes, incorporating both clinical trials and real-world studies [63]
Improvements in the gut, like decreased bloating and more effortless bowel movement, are apparent after a few days, while the weight loss advantage and increase in energy levels come somewhat later

Why GLP1s Are Gaining Attention in Liver Disease GLP1 receptor agonists, including semaglutide and other analogs, exert multiple metabolic effects: they enhance glucose-dependent insulin secretion, suppress glucagon, slow gastric emptying, and promote weight loss

Yes, its slow, and yes its hard, but its not impossible

Dejgaard, T
It includes at-home biomarker testing