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Anyone using TB-500 should monitor liver enzymes and kidney function and work with a provider

Referral to hepatology is recommended for patients with: Elevated fibrosis risk on FIB-4 or ELF testing (per NICE NG49) Signs of decompensation : jaundice, ascites (abdominal swelling), hepatic encephalopathy (confusion), or gastrointestinal bleeding Uncertain diagnosis or complex management needs Nutritional support from a dietitian experienced in liver disease can optimise outcomes

Understanding long-term outcomes and weight regain One critical question that neither CagriSema nor tirzepatide has fully answered is what happens after treatment stops