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Studies are lacking on the safety and efficacy of GLP-agonists in decompensated NASH cirrhosis

* Two dosages are available: a 250 mcg dose, ideal for people needing maintenance, and a 500 mcg dose, a higher potency that can be leveraged as a loading dose or applied to cases where more support is required

These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel

Vitamin B9 (folate/folic acid) - Vitamin B9 is involved in the metabolism of homocysteine, an amino acid that has been linked to an increased risk of cardiovascular disease