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c/survodutide·posted 4 months ago by u/rania_marchand

[Question] Australia — has anyone got a straight answer on hepatic fat

Question Long Haul ×1 Slow Clap ×2

Genuinely asking, not being difficult.

Everyone in c/tirzepatide repeats that biopsy is important. I believe it, but I have never seen anyone show why, and when I search I get 8 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

1,399 up / 86 down94% upvoted48 commentsid 1x7unx8 Mar 2026

48 comments

27 in this archive, depth 6

best — the order this archive was captured in

u/thermal_mass_tom187 points·4 months ago

Strongly agree. The safety story is separate.

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u/trialwatch_theoMOD104 points·4 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/julia_mensa112 points·4 months ago

Yeah, glucagon co-agonism is genuinely different.

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u/draw_up_dizzy99 points·4 months ago

glucagon co-agonism has a different safety story

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u/hana_lehtinen53 points·4 months ago

glucagon co-agonism has a different safety story

Adding to this: hepatic fat is doing more work than the comment implies.

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u/cato_girard15 points·4 months ago

do not generalise from tirzepatide

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u/kasper_cabrera66 points·4 months ago

Yeah, glucagon co-agonism is genuinely different.

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u/renzo_asante22 points·4 months ago·edited

rodent survodutide is investigation only

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u/liver_enzyme_liz6 points·4 months ago

glucagon injection is a different vector than GLP-1

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u/rania_marchandOP13 points·4 months ago

My version of this: I was so worried about the injection that I put it off for eleven days. The injection is the easiest part.

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u/peak_area_peteanalytical6 points·4 months ago

Yeah, glucagon co-agonism is genuinely different.

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u/rania_marchandOP-38 points·4 months ago

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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u/border_paperwork1 point·4 months ago

The thing nobody prepared me for was the quiet.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/heart_rate_bump1 point·4 months ago

the safety profile is not just tirzepatide amplified

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u/kaia_cabrera1 point·4 months ago

The thing nobody prepared me for was the quiet.

Adding to this: biopsy is doing more work than the comment implies.

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u/elin_tamm2 points·4 months ago

not approved, descriptive posts only

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u/rania_marchandOP41 points·4 months ago

Week 22 for me and the honest summary is: 11kg down, muscle cramps manageable, and I have thought about food maybe four times today.

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u/nadia_kjaer51 points·4 months ago

Poland here. Waited 15 months on a list, gave up, went private, and the total cost was roughly what I expected.

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u/whois_wanda17 points·4 months ago·edited

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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u/dario_boateng12 points·4 months ago

the heart rate signal is real in the data

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[deleted]5 points·4 months ago

[deleted]

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u/dario_boateng37 points·4 months ago

Poland here.

Yes, exactly this, and it is the bit that took me 20 weeks to accept.

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u/cato_girard28 points·4 months ago

Poland here.

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/marisol_frisk30 points·4 months ago

This is correct. Do not generalise from tirzepatide.

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u/lyophile_lou19 points·4 months ago

the safety profile is not just tirzepatide amplified

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u/santiago_villalobos32 points·4 months ago·edited

The evidence standard in c/vendorvetting gets called too strict about once a month, and every time, the thread ends with the complainant agreeing.

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Survodutide-specific discussion: glucagon-receptor co-agonism, the hepatic fat and MASH resolution data, and how the side-effect profile compares with GIP-based dual agonism. Small community, high signal.

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