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We report the use of GLP-1RA therapy with liraglutide and subsequent transition to subcutaneoussemaglutide weekly in a 37-year-old female with severe obesity, weighing 694 lbs (314 kg) with a body mass index (BMI) of 108 kg/m2

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GI side effects were slightly more common but mostly mild to moderate and occurred during dose escalation

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Side effects like nausea, vomiting, and diarrhea especially common in the first weeks of treatment or after dose increases can further deplete fluids

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GLP-1 receptor agonist

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Neoepitopes were identified in DS and DP semaglutide follow-ons, indicating potential immunogenicity

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