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Pharmacologic Treatment of Metabolic Dysfunction-Associated Steatotic Liver Disease in the Context of Type 2 Diabetes - PubMed

5 hours ago
  • #Pharmacological Treatment
  • #Type 2 Diabetes
  • #MASLD
  • Metabolic dysfunction–associated steatotic liver disease (MASLD) is highly prevalent among individuals with type 2 diabetes (T2D).
  • GLP-1 RAs, dual GIP/GLP-1 RAs, pioglitazone, and SGLT2 inhibitors show benefits in steatohepatitis.
  • Semaglutide provides robust evidence for fibrosis benefit, while tirzepatide and dapagliflozin show potential antifibrotic effects.
  • Resmetirom and semaglutide are the only agents specifically approved for MASLD.
  • Dual glucagon/GLP-1 and triple GIP/GLP-1/glucagon agonists like retatrutide show marked reductions in liver fat.
  • Pan-PPAR agonists and FGF21 analogues are advancing through phase 3 development.
  • The therapeutic landscape is evolving toward integrated metabolic, hepatic, and cardiovascular risk reduction in T2D and MASLD.