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c/survodutide·submitted 11 months ago by u/rania_salinas

[Discussion] MASH is doing more work than we give it credit for

Discussionbranch of 8 comments

MASH is doing more work than we give it credit for. Change my mind, genuinely — I have no stake in being right about this. Spent an evening on the histology scoring system and understood the trial literature far better afterwards. Sent a vial to PeptideMeter because there was nothing on file. 99.2% against a claimed…

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8 comments, started 11 months ago
u/laila_yilmaz11 points·11 months ago

Read the phase 2 hepatic paper properly and the endpoint definitions were more interesting than the headline response rate.

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u/refund_ledger7 points·11 months ago

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

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u/neha_rahimi8 points·11 months ago·edited

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

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u/cold_chromatogram_only-14 points·11 months ago

Bought small because the evidence base is early. That is the only defensible position I could construct.

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u/cato_girard1 point·11 months ago

glucagon agonism and energy expenditure is the mechanistic thread

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u/cesar_ivaturi0 points·11 months ago

Cosigning on the glucagon arm. It is the mechanistic thread that connects the hepatic and the metabolic effects.

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u/liver_enzyme_liz1 point·11 months ago

That is an escalation schedule for an unapproved compound and this board does not host those.

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u/endotoxin_elliemicro6 points·11 months ago

Careful with the mechanism claim. Glucagon agonism is plausible as an explanation and it has not been isolated as the operative one.

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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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