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All medications listed below are used off-label for PBH in the UK and should be initiated and monitored by specialists: Acarbose : An alpha-glucosidase inhibitor that delays carbohydrate absorption

55,56 Furthermore, a trial conducted in patients without T2DM indicated that liraglutide 3 mg daily provided benefits comparable to those of structured lifestyle changes in improving liver enzymes, insulin resistance, and weight, which are considered effective and fundamental measures for managing and improving MASLD/MASH

The key difference is strain specificity and manufacturing quality

27 , [2025], published by Wiley, under CC-BY license

He prescribes GLP-1 drugs, and he's candid about their limits