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c/survodutide·posted 1 months ago by u/camila_marchand

does MASH actually matter or is it forum lore at this point

Caution

The title is the whole question — does MASH actually matter or is it forum lore at this point — but here is why I am asking.

Independent purity results for this compound are very sparse across the whole site, which means any impression about consistency is built on almost nothing.

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use.

The escalation schedules in the published protocols are slow and deliberate, and the tolerability tables show why. That is a description of the trials rather than a suggestion for anybody.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

228 up / 51 down82% upvoted23 commentsid sp785b21 Jun 2026

23 comments

19 in this archive, depth 6

best — the order this archive was captured in

u/dexa_twice_yearlybody comp22 points·1 months ago

What this compound is actually being developed for, since the boards treat it as a weight-loss molecule with a footnote.

It is a dual GLP-1 and glucagon receptor agonist, and the glucagon arm links to hepatic fat and energy expenditure. The headline programme is metabolic liver disease, with endpoints scored on biopsy rather than on a scale.

That matters for how the data should be read. A histological response rate in a biopsy-confirmed population answers a very different question from a mean weight change in an obesity trial, and quoting one in place of the other — which happens in nearly every thread here — is not a comparison.

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u/zeynep_ndiaye19 points·1 months ago

Asked here what the difference was between the imaging and biopsy endpoints and got a genuinely excellent answer.

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u/preservative_free_p7 points·1 months ago

Small fix — dual agonist, GLP-1 and glucagon. No GIP arm in this molecule.

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u/joaquin_ivaturi8 points·1 months ago

Yes — nothing containing this is approved anywhere, which is the first fact and usually the last one mentioned.

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u/valeria_karlsen9 points·1 months ago

research material is not approved for human use, which is why the clinical record here is thin

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u/tuva_kirchner7 points·1 months ago

the weight numbers are secondary to what this is being developed for

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u/tired_ledger_ftw4 points·1 months ago

What does the tolerability table say at that dose?

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u/renzo_yildiz2 points·1 months ago

Not convinced. Imaging-based fat fraction is not the same as a histological response and the paper is explicit about that.

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u/liver_enzyme_liz0 points·1 months ago

Not convinced.

renzo_yildiz is right that biopsy and imaging endpoints are not interchangeable.

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u/camila_marchandOP2 points·1 months ago

read the histology endpoint definitions before quoting a response rate

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u/vitamin_d_void2 points·1 months ago

Correction: that is the imaging endpoint, not the histological one. The paper reports both and they differ substantially.

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u/milan_mensah1 point·1 months ago

I would not read across from the obesity programmes. Different population, different endpoint, different question.

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u/camila_marchandOP1 point·1 months ago

That figure is from the obesity programme, and this thread is about the hepatic one.

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u/chidi_demir1 point·1 months ago

MASH endpoints are histological, which is a much harder bar

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u/valeria_karlsen1 point·1 months ago·edited

Correction: that is the imaging endpoint, not the histological one.

This is the framing the board needs. It is a hepatic programme first.

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u/lina_ndiaye1 point·1 months ago

biopsy-confirmed is not the same as imaging-suggested

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u/camila_marchandOP1 point·1 months ago

Is that a weight number from a different programme?

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u/cesar_ivaturi1 point·1 months ago

How fast was the escalation in that protocol?

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About c/survodutide

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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  2. MASH claims need the trial and the biopsy endpoint.
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