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Resmetirom (THR- agonist) directly improves hepatic lipid metabolism, thereby achieving balanced improvements in MASH resolution and fibrosis reduction

GLP-1 medications may help

GLP-1 receptor agonists stimulate insulin secretion from pancreatic beta cells in a glucose-dependent manner, meaning they promote insulin release only when blood glucose levels are elevated

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If budget is a constraint, use an insulated case with four gel packs (two active, two spare in a hotel freezer) and rotate them every 4-6 hours