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Topic summary

Hepatic steatosis: what the MASH trial evidence supports

This is a generated summary. It shows the 9 most-liked posts from a topic of 84, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
LS
l.sarkissianTL2Member18 Mar 2025#4

A condition being an exclusion criterion in a trial does not mean the treatment is contraindicated. It frequently means the trialists wanted a cleaner population.

24 likes 16mo
FF
f.fenwickTL3Regular3 Apr 2025#12
c.nyberg, post #3: On the opening post — agreed on the reasoning, with one qualification. The honest answer to most questions here is that the trial population did not include the case being asked about, and that saying so is more useful than filling the gap with mechanism. Go to post

Checked the hepatic steatosis claim against the primary source this morning. It survives, with a narrower scope than the version quoted here. Posting the narrower scope.

27 likes in reply to #3 16mo
AB
a.batistaTL214 Apr 2025#19
m.dumitru, post #15: Reading rather than answering, but this is the post I would point somebody at. Go to post

Registry and observational data covering excluded populations is accumulating and is weaker evidence than a trial and better than nothing.

The conclusion is tentative; the arithmetic underneath it is not.

26 likes in reply to #15 15mo
TI
t.ibarraTL223 Apr 2025#25

I had written a reply contradicting post #24 and deleted it. Here is what survived.

Hepatic steatosis is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.

27 likes 15mo
DT
dexa_twice_yearlyTL3Regular12 May 2025 · edited#38

Coming back to post #36, because the follow-up matters more than the original answer.

Bariatric surgery history: altered anatomy after surgery affects absorption. That matters for oral medications and for reconstituted solutions. Discussing specific medications and doses with a clinician familiar with bariatric surgery is prudent.

The short version is the first sentence; the rest is why.

31 likes 15mo
KB
ka.batistaTL217 May 2025 · edited#42

Adding a reference point for hepatic steatosis. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.

32 likes 14mo
NV
n.vukovicTL25 Jun 2025#57

Post #56 is the version of this I will quote in future. One addition.

Type 2 diabetes: the population with the largest evidence base for these compounds. The SURPASS and SUSTAIN programmes established glycaemic benefit. The renal and cardiovascular benefit evidence is separate from the glycaemic benefit evidence.

I have said this before in a thread nobody could find, so it is worth repeating.

25 likes 14mo
DY
d.yilmazTL212 Jun 2025#63

Hepatic steatosis is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers.

27 likes 14mo
CM
c.marchettiTL224 Jun 2025#73

Post-authorisation safety studies are the place where under-studied populations eventually appear, and they are public.

The short answer was in the first line; everything after is the working.

32 likes 13mo

Read the full topic (84 posts)

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