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Area of Science:

  • Endocrinology
  • Pharmacology

Background:

  • Semaglutide, a glucagon-like peptide-1 receptor agonist, is approved for type 2 diabetes and increasingly used for weight loss.
  • Gastrointestinal side effects are known but generally mild.

Observation:

  • A patient initiated semaglutide therapy.
  • The patient subsequently developed symptoms suggestive of gastroparesis.

Findings:

  • The case highlights a potential, albeit uncommon, severe gastrointestinal adverse effect of semaglutide.
  • Gastroparesis emerged as a complication in this patient receiving semaglutide.

Implications:

  • Clinicians should be vigilant for severe gastrointestinal symptoms in patients on semaglutide.
  • Further investigation into the mechanisms underlying semaglutide-induced gastroparesis may be warranted.