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Forumsβ€ΊLab Results & Biomarkersβ€ΊIs it normal for liver enzymes to go UP at first? β€” my results so far β€Ί Page 5

Is it normal for liver enzymes to go UP at first? β€” my results so far

carlos_SATX Fri, Jan 9, 2026 at 10:26 PM 23 replies 1,368 viewsPage 5 of 5
MarkLI_maint
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Jun 2024
Long Island, NY
Jan 10, 2026 at 5:31 AM#21

Just wanted to say β€” for anyone reading this Is it normal for thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. πŸ’ͺ

4 8RunnerRach, TrialNerd_Beth, HPLC_Greg and 1 other
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Dr.PathRoch
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2,123
Jun 2024
Rochester, MN
Jan 10, 2026 at 5:48 AM#22

Want to share my personal experience related to Is it normal for liver enzymes since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 265 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 14 months later: I am down 60 lbs, my labs have normalized, and I am off 2 of my 3 medications. The Is it normal for aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

43 19InsuranceTom, WendyG_ATL, SaraMom3 and 40 others
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andrew_nyc
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Apr 2024
New York, NY
Jan 10, 2026 at 6:05 AM#23

Clinical perspective on Is it normal for liver enzymes to go UP:

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

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

Last edited: Jan 10, 2026 at 11:05 AM
46 8PharmD_Rodriguez, julia.endo, JessicaM_2024 and 43 others
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claudia_zurich
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Jul 2024
Zurich, CH
Jan 10, 2026 at 6:22 AM#24

Thank you Dr.PathRoch! This is incredibly helpful. Taking this to my next appointment. πŸ™

Last edited: Jan 10, 2026 at 12:22 PM
21 20alex_tucson, kevin_tulsa, Dr.PainCLE and 18 others
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dan_philly
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Jul 2024
Philadelphia, PA
Jan 10, 2026 at 6:39 AM#25

Relevant to Is it normal for liver enzymes β€” here is my latest bloodwork comparison:

Key improvements: A1C 7.2% β†’ 5.3%, triglycerides 243 β†’ 113 mg/dL, hsCRP 6.0 β†’ 1.3 mg/L. All on tirzepatide for 11 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

6 23EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 3 others
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