Semaglutide acts on GLP-1 receptors in the hypothalamus, the brains hunger regulator
For a more complete safety profile you can add endotoxin testing ($110), which detects bacterial contamination that can cause immune reactions, or a heavy-metals panel ($120) screening for lead, arsenic, cadmium, and mercury
The number one cause is fatty liver syndrome or hepatic lipidosis, usually secondary to cholangitis
The various treatments for MASHlifestyle modifications, glucagon-like peptide (GLP) 1 receptor agonists, GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) dual agonists, resmetirom, metabolic-bariatric surgery, and metabolic-bariatric endoscopic proceduresreduce steatosis by distinct but converging pathways (Figure 1)
Int J Mol Sci 22(12):6403 Drugs.com (2022) Insulin side effects