The Liver Effect of using Wegovy and Ozempic that Researchers Didn’t Expect

Physionic

Jun 4, 2026

Episode description

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0:00 - Introduction
0:30 - A Peptide for my Liver, Please
1:49 - I’ll Keep my Weight, though
3:49 - An Unlikely Alliance

Other videos on Peptides:
Osteoarthritis: https://www.youtube.com/watch?v=72rzR4Qo3zo
The Most Potent Peptide: https://www.youtube.com/watch?v=T9KJ8HGRmwM
Visceral Fat Specific: https://www.youtube.com/watch?v=m5BcB5_dWic

References
[Study 799] Gonzalez-Rellan MJ, Riobello C, Fang S, et al. The weight-loss-independent hepatoprotective benefits of semaglutide are orchestrated by intrahepatic sinusoidal endothelial GLP-1 receptors. Cell Metab. Published online 2026. doi:10.1016/j.cmet.2026.03.011

Funding/Conflicts: Public Funding: From the study, the work was funded by grants from the Canadian Institutes of Health Research; Non-Profit Funding: From the study, funding also came from a Sinai Health–Novo Nordisk Foundation Fund in Regulatory Peptides; Industry Funding: From the study, no direct industry funding source was reported, but D.J.D. disclosed consulting fees from Amgen, AstraZeneca, Crinetics, Eli Lilly, and other companies, and Mount Sinai Hospital has received investigator-initiated grant support from industry sponsors for preclinical studies in the Drucker lab.

[Study 800] Newsome PN, Buchholtz K, Cusi K, Linder M, Okanoue T, Ratziu V, et al. A placebo-controlled trial of subcutaneous semaglutide in nonalcoholic steatohepatitis. N Engl J Med. 2021;384(12):1113-1124. doi:10.1056/NEJMoa2028395

Funding/Conflicts: Public Funding: From the study, no public funding source was reported; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, the trial was funded by Novo Nordisk, and conflicts included multiple authors being employees of Novo Nordisk, holding Novo Nordisk stock, or receiving advisory, consulting, lecture, travel, research, or grant support from Novo Nordisk and other pharmaceutical companies; the authors stated no other potential conflict of interest relevant to the article was reported.

[Study 801] Sanyal AJ, Newsome PN, Kliers I, Harms Østergaard L, Long MT, Kjær MS, et al. Phase 3 trial of semaglutide in metabolic dysfunction–associated steatohepatitis. N Engl J Med. 2025;392(21):2089-2099. doi:10.1056/NEJMoa2413258

Funding/Conflicts: Public Funding: From the study, no public funding source was reported; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, the trial was funded/supported by Novo Nordisk, and the paper stated that author disclosure forms were available with the full article; several listed author affiliations were with Novo Nordisk.

[Study 802] Loomba R, Abdelmalek MF, Armstrong MJ, Jara M, Kjær MS, Krarup N, et al. Semaglutide 2.4 mg once weekly in patients with non-alcoholic steatohepatitis-related cirrhosis: a randomised, placebo-controlled phase 2 trial. Lancet Gastroenterol Hepatol. 2023;8(6):511-522. doi:10.1016/S2468-1253(23)00068-7

Funding/Conflicts: Public Funding: From the study, no public funding source was reported; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, the trial was funded by Novo Nordisk A/S, and conflicts included author relationships with Novo Nordisk and other pharmaceutical companies, with the paper noting disclosure forms were provided by the authors.

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Mindsip insights from this episode:

Leverage peptides to enhance liver health through endothelial cells

Research has isolated a unique positive effect on liver health that works through peptides binding to endothelial cells, which line the liver's blood vessels.

Enhance liver health with peptides without weight loss

Peptides like semaglutide can improve liver health markers even without causing any weight or fat loss.

Target peptides to GLP1 receptors on liver T-cells and endothelial cells

The GLP1 receptor is highly present on two specific cell types in the liver—T-cells (immune cells) and endothelial cells (blood vessel lining)—making them prime targets for peptides.

Explore mechanistic research on semaglutide's liver effects

Current human studies on semaglutide cannot separate the fat-loss-independent effects on the liver, which is why this new mechanistic research is so exciting.

Confirm GLP1 receptors' role in liver protection

When GLP1 receptors were removed from T-cells and endothelial cells, the liver-protective benefits of the peptide disappeared, confirming their crucial role.

Utilize peptides to enhance liver immune profile

The weight-loss-independent liver improvements are partly due to peptides causing direct changes to the immune profile surrounding the liver.

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