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Semaglutide Plus Low-Dose Metformin Combination Therapy for the Treatment of Obesity and Prediabetes in a Woman with Partial Deletion of the X Chromosome Long Arm - PubMed

7 hours ago
  • #Obesity treatment
  • #Semaglutide
  • #X chromosome deletion
  • First case report on using once-weekly subcutaneous semaglutide plus low-dose metformin to treat obesity and prediabetes in a woman with partial Xq deletion.
  • Patient, a 65-year-old woman, achieved significant weight loss (13.8 kg, 20.95% total body weight) and improved metabolic markers (HbA1c reduction, normalized insulin sensitivity indices) over 8 months.
  • Body composition improved with fat mass loss (-10.3 kg), increased percent fat-free mass, and normalization of BMI from obesity to overweight (31.8 to 25.1 kg/m²).
  • Abdominal ultrasound showed resolution of mild-to-moderate hepatic steatosis at 6 months; therapy was well-tolerated.
  • Highlights need for further studies on semaglutide's safety and efficacy in patients with X chromosome abnormalities and metabolic disorders.