Semaglutide can be expensive and may be out of reach for many people without insurance or other financial assistance
It is imperative to discuss possible adverse effects with your health care provider before beginning treatment
However, the absence of hepatic decompensation or overt hepatotoxicity in the ESSENCE trial is reassuring and supports the use of semaglutide in patients with F2-F3 fibrosis, with appropriate monitoring
Semaglutide has also shown promising results for weight management, and healthcare providers may prescribe it off-label for this purpose

Approval (2017) Novo Nordisk Press Release (18th October, 2025): FDA Approves Novo Nordisk's Oral Semaglutide For Cardiovascular (CV) Risk Reduction In Adults With Type 2 Diabetes Who Are At High Risk, Including Those Who Have Not Had A Prior CV Event Once-Weekly Semaglutide in Adults With Overweight or Obesity (March 2021) Efficacy And Safety Of Once-Weekly Semaglutide 20 Mg Versus 10 Mg In Patients With Type 2 Diabetes (SUSTAIN FORTE): A Double-Blind, Randomised, Phase 3b Trial (July 19, 2021) Oral Semaglutide Versus Subcutaneous Liraglutide And Placebo In Type 2 Diabetes (PIONEER 4): A Randomised, Double-Blind, Phase 3a Trial Novo Nordisk Press Release (21st October, 2024) Novo Nordisk A/S: Oral Semaglutide Demonstrates A 14% Reduction In Risk Of Major Adverse Cardiovascular Events In Adults With Type 2 Diabetes In The SOUL Trial Efficacy And Safety Of Once-Weekly Semaglutide 20 Mg Versus 10 Mg In Patients With Type 2 Diabetes (Sustain Forte): A Double-Blind, Randomised, Phase 3b Trial Metabolic Dysfunction-Associated Steatohepatitis And Progression To Hepatocellular Carcinoma: A Literature Review (March 20th, 2024)
