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Nonalcoholic steatohepatitis (NASH)-related cirrhosis can lead to serious liver-related outcomes. In a phase 2 trial, lead author Rohit Loomba, MD, University of California San Diego School of Medicine, and collaborators, report semaglutide 2.4 mg once weekly in patients with NASH-related cirrhosis did not improve fibrosis without worsening of NASH. However, the drug did lead to marked improvements in cardiometabolic risk parameters, liver enzymes, serum fibrosis biomarkers and liver fat.