This broad tissue distribution explains why GLP-1 RAs exert effects on multiple organ systems simultaneously, a property that makes them particularly suited to address the complex pathophysiology of NASH, which involves dysregulation of glucose and lipid metabolism, insulin resistance, inflammation, and fibrosis
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They remain areas of ongoing investigation rather than established findings
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Despite the absence of GLP-1Rs on hepatocytes, GLP-1 is involved in hepatic lipid and glucose metabolism, by contributing to fibrosis reversal and liver cells protection in patients with nonalcoholic steatohepatitis (NASH) undergoing GLP-1 RAs (35)