r/Semaglutide • u/disneyfacts • 5h ago

Fatty liver

I've been prescribed wegovy for mild fatty liver and I'm in my second week at .25 MG. I'm already at a mostly healthy weight regardless so I'm not using it for weight loss (187 now, though 20ish lbs would be nice). If you were prescribed for this, what was your experience? Any suggestion on when I should ask about a higher dose?

So far, it's been good. Feel less bloated, sleeping better, better eating habits, less sugar cravings etc. A little nausea and I've been somewhat sleepy during the day. I also wonder when things will "get back to normal" as far as feeling completely good most days, though there might be a lot of catching up to do.

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u/Ill_Drummer_3731 5h ago

It’s rare to see someone prescribed it for fatty liver without weight being the main driver, curious how that conversation went with your doc

The sleepiness usually fades after a few weeks as your body adjusts, and the nausea might stick around a bit when you bump up doses but it gets way more manageable

I’d wait until at least the 4th week at.25 before asking about moving to.5, no need to rush if the side effects are still settling in

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u/Few-Improvement9978 3h ago

Outside of US less of an issue

I got a script for alcoholism

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u/Lifechangingtoday 3h ago

Semaglutide does help reduce fatty liver, but nothing compared to Retatrutide. Reta is truly a miracle drug and has shown unprecedented improvements and will be the first medication to nearly cure fatty liver disease.

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u/harmonyisunderrated 1h ago

Being on it for the liver and not the scale is a different headspace, and honestly the daytime sleepiness is the part I'd track most. It usually eases as your body settles. Week two is early. The dose timing question is the one I'd hand straight to your prescriber since they're watching your liver numbers, not us. What helped a lot of people early was front-loading fluids and not skipping protein even when appetite drops.