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Condition

Fatty Liver Disease

Fatty liver disease is when extra fat builds up in liver cells, often with excess weight and insulin resistance, and can inflame the liver. Retatrutide, a triple hormone agonist, has the strongest evidence, and liver fat fell by roughly 82 to 86 percent in a 48-week trial, with about nine in ten people reaching normal levels. That trial was mid-stage and included only 98 people, so larger, longer studies are still needed.

Sources: PMID 38858523

Supplements studied
0
Medicines and peptides
1
Graded outcomes
1
No supplement studies yetWe haven’t found supplement studies for Fatty Liver Disease. The medicines and peptides studied for it are listed below.

Prescription medicines and peptides studied, for context

These are not supplements. Most need a prescription, and some are research compounds with no approved use.

1 medicine or peptide

Retatrutide (GLP-3 Triple Agonist): outcomes studied for Fatty Liver Disease
GradeOutcomeEffectSizeStudiesPeopleStudies list
Liver Fat Reduction

Phase 2a MASLD (n=98): 82-86% relative reduction in liver fat at 48 weeks with 8-12mg. 89-93% achieved normal liver fat (<5%). Driven by glucagon receptor activation promoting hepatic lipid oxidation.

Improves (the measure goes down)Large effect16 studies

Key findings

  • Liver Fat ReductionRetatrutide (GLP-3 Triple Agonist)Improves (the measure goes down)

Studies cited

16 studies from PubMed

  1. Medical Management of Obesity: A Comprehensive Review of Food and Drug Administration (FDA)-Approved and Investigational Therapies.Cureus, 2025 · PMID 41393574
  2. Perceived benefits of treatment for obesity with retatrutide: A qualitative study of patients in a phase 2 clinical trial.Obesity pillars, 2025 · PMID 41216380
  3. Appetite, eating attitudes, and eating behaviours during treatment with retatrutide in adults with type 2 diabetes: Results of a phase 2 study.Diabetes, obesity & metabolism, 2025 · PMID 40916752
  4. Sex Differences in the Efficacy of Glucagon-Like Peptide-1 Receptor Agonists for Weight Reduction: A Systematic Review and Meta-Analysis.Journal of diabetes, 2025 · PMID 40040445
  5. The promise of glucagon-like peptide 1 receptor agonists (GLP-1RA) for the treatment of obesity: a look at phase 2 and 3 pipelines.Expert opinion on investigational drugs, 2025 · PMID 40022548
  6. Emerging pharmacotherapies for obesity: A systematic review.Pharmacological reviews, 2025 · PMID 39952695
  7. Sex, race, and BMI in clinical trials of medications for obesity over the past three decades: a systematic review.The lancet. Diabetes & endocrinology, 2024 · PMID 38723646
  8. Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trialNat Med, 2024 · PMID 38858523
  9. Rectal administration of d-alpha tocopherol for active ulcerative colitis: a preliminary reportWorld J Gastroenterol · PMID 18932276
  10. The effects of spirulina (Arthrospira platensis) supplementation on anthropometric indices, blood pressure, sleep quality, mental health, fatigue status and quality of life in patients with ulcerative colitis: A randomised, double-blinded, placebo-controlled trialInt J Clin Pract · PMID 34107141
  11. Randomized clinical trial of Plantago ovata seeds (dietary fiber) as compared with mesalamine in maintaining remission in ulcerative colitis. Spanish Group for the Study of Crohn's Disease and Ulcerative Colitis (GETECCU)Am J Gastroenterol · PMID 10022641
  12. Andrographis paniculata Extract (HMPL-004) for Active Ulcerative ColitisAm J Gastroenterol · PMID 23044768
  13. Randomised clinical trial: herbal extract HMPL-004 in active ulcerative colitis - a double-blind comparison with sustained release mesalazineAliment Pharmacol Ther · PMID 21114791
  14. Curcumin maintenance therapy for ulcerative colitis: randomized, multicenter, double-blind, placebo-controlled trialClin Gastroenterol Hepatol · PMID 17101300
  15. Use of the 'nutriceutical', bovine colostrum, for the treatment of distal colitis: results from an initial studyAliment Pharmacol Ther · PMID 12390100
  16. A Randomized, Double-blind, Placebo-controlled, Parallel-group, Pilot Study of Cannabidiol-rich Botanical Extract in the Symptomatic Treatment of Ulcerative ColitisInflamm Bowel Dis · PMID 29538683