Persistent elevation, even mild, is a flag Abdominal ultrasound report or MRI mentioning hepatic steatosis or increased echogenicity FibroScan or transient elastography result if available, with both the controlled attenuation parameter for fat and the liver stiffness measurement for fibrosis Current antiretroviral regimen and a complete list of other prescription medications, especially statins, hormones, oral contraceptives, and metformin Recent hemoglobin A1c, fasting glucose, and lipid panel Recent CD4 count and viral load confirmation showing sustained suppression From Documentation to a Real Clinical Decision With that packet in hand, the conversation can shift from generic lifestyle advice to a specific clinical question: given my labs, my imaging, my ART, my CD4, and my viral load, is semaglutide a reasonable option for the MASLD or MASH that we are documenting

Glucagon-like peptide-1 (GLP-1) receptor agonistsincluding semaglutide (Ozempic, Wegovy), dulaglutide (Trulicity), and liraglutide (Victoza, Saxenda)work by mimicking the incretin hormone GLP-1
Take steps to avoid overeating to help maintain your weight loss
Moreover, this non-invasive procedure requires minimal downtime, allowing clients to quickly resume their regular activities while continuing to enjoy the lasting benefits of their hard-earned weight loss
Opened Semaglutide Once semaglutide is opened, clinical guidance allows more flexibility