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Weight Loss as a Determinant of Histological Improvement in Metabolic Dysfunction-Associated Steatotic Liver Disease in People With Obesity. A Systematic Review and Network Meta-Analysis of Randomised

3 days ago
  • #weight loss
  • #obesity management
  • #MASLD
  • Weight loss is associated with histological improvement in Metabolic dysfunction-associated steatotic liver disease (MASLD) in people with obesity.
  • Tirzepatide, semaglutide, sleeve gastrectomy, and Roux-en-Y gastric bypass were superior to placebo or standard care for achieving MASH resolution.
  • Greater total body weight loss (TBWL%) was associated with higher rates of MASH resolution and fibrosis improvement.
  • The study highlights the need for adequately powered head-to-head trials due to limited evidence and sparse network structure.
  • The findings are exploratory and hypothesis-generating, emphasizing the importance of further research.