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ForumsMASH / Liver DiseaseMy liver enzyme journey — 6 month update Page 3

My liver enzyme journey — 6 month update

Dr.DermMIA Mon, Oct 27, 2025 at 4:50 AM 11 replies 1,143 viewsPage 3 of 3
hans_munich
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Jul 2024
Munich, DE
Oct 27, 2025 at 9:05 AM#11

FitDadDave — wow. This community is amazing.

11 17kevin_tulsa, Dr.PainCLE, mike_mealprep and 8 others
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tommy_boulder
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Nov 2024
Boulder, CO
Oct 27, 2025 at 9:22 AM#12

Slightly tangential to My liver enzyme journey but Dr.DermMIA reminded me — what is the latest on the oral formulations?

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.

Last edited: Oct 27, 2025 at 10:22 AM
34 0TinaHashiRN, robert_kc, dan_philly and 31 others
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Dr.RheumBOS
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Apr 2024
Boston, MA
Oct 27, 2025 at 9:39 AM#13

Thanks for sharing this, Dr.DermMIA. A few questions about your My liver enzyme experience:

  1. What dose did you start at?
  2. How long before you noticed side effects improving?
  3. Did your provider have any specific recommendations about My liver enzyme?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

26 12cory_ATX, lori_vegas, Dr.PulmRoch and 23 others
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Dr.DermMIA
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May 2024
Miami, FL
Oct 27, 2025 at 9:56 AM#14

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on My liver enzyme journey .

To answer tommy_boulder: 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. 🙏

3 23PeptideChemSF, A1cHero_PHX, Dr.RenalNash
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anders_CPH
Senior Member
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Feb 2024
Copenhagen, DK
Oct 27, 2025 at 10:13 AM#15

Relevant to My liver enzyme journey 6 — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 193 → 93 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

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

1 15ChrisMacros
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