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Achieving Over 30% Body Weight Loss With Semaglutide in a Patient: A Case Report
Sidra Danish1, Vallabh Dogra1, Uzma Rauf1
1Internal Medicine, Bon Secours Mercy Health, Toledo, USA.
Cureus
|March 24, 2025
Summary
Semaglutide treatment led to substantial weight loss exceeding 30% in a morbidly obese patient. The medication also resolved hypertension and normalized glucose levels, showcasing its broad benefits.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pharmacology
Background:
- Morbid obesity (BMI ≥ 40) is a complex metabolic condition associated with significant health risks, including hypertension and hyperglycemia.
- Effective and safe weight management strategies are crucial for improving patient outcomes and reducing comorbidities.
- Semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has emerged as a promising therapeutic agent for weight reduction.
Observation:
- A 69-year-old female patient with morbid obesity (BMI: 47) and pre-existing hypertension was treated with semaglutide.
- The patient's initial weight was 241 lb.
- Treatment duration was 65 weeks.
Findings:
- The patient achieved a significant weight loss of 90 lb, representing over 30% of her total body weight.
- This weight reduction surpassed the average outcomes reported in previous clinical studies on semaglutide for weight management.
- The patient experienced no adverse side effects during the treatment period.
- Concurrently, her hypertension resolved, and her blood glucose levels normalized.
Implications:
- Semaglutide demonstrates potent efficacy in inducing substantial and sustained weight loss in individuals with morbid obesity.
- The drug offers multifaceted health benefits beyond weight reduction, including the resolution of comorbidities like hypertension and normalization of glycemic control.
- These findings support the role of semaglutide as a valuable therapeutic option for managing obesity and its associated metabolic disturbances.

