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Case presentation SL was a 44 year old Caucasian male with a past medical history of severe morbid obesity (BMI 99), heart failure with preserved ejection fraction, oxygen-dependent obesity hypoventilation syndrome (OHS), chronic non-healing leg wounds, anemia, uncontrolled hypertension on 2 anti-hypertensive agents, limited mobility, and major depressive disorder who presented to an academic medical center for treatment of acute on chronic diastolic heart failure due to progressive dyspnea
If you miss a semaglutide dose during the early transition (within the first 4 weeks), the impact is greater than missing a dose after reaching steady state because the drug has not yet accumulated to therapeutic levels
Fact : Unfortunately, this is not always the case
Platforms allowing easy dose modifications without extra consultations or fees provide better value
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