Dr.PulmRoch said:Steady state is the thing most people miss.
Agreed, and ALT falling is not the same as fibrosis improving. Enzymes are a crude proxy; FIB-4 or elastography is what tells you about the thing that matters.
That is the short version; the long version is somebody else's post.
Dr.PulmRoch said:Steady state is the thing most people miss.
Genuinely useful, thank you. I had the facts and not the framework. Printing the relevant bit and taking it with me.
Adding the clinical framing, because it changes how the question reads. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.
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Shop Reference StandardsVanRx_Mike said:The useful move here is to separate what is established from what is widely repeated.
Adding a me-too, because a thread of one person's experience is not much use. The detail I would add is minor and it is already implied above.
VanRx_Mike said:The useful move here is to separate what is established from what is widely repeated.
There is a second half to this that has not been said yet. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.