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Study · Not a test of the peptide alone · 2025

1 result

Blurring Fact and Fiction: A Complex Case of Recurrent Emergency Presentations, Polypharmacy, and Psychiatric Conflict.

Reyad B

Cureus11 Dec 2025

PMID41523523 (opens in a new tab)PMCIDPMC12790413 (opens in a new tab)DOI10.7759/cureus.98979 (opens in a new tab)PepBankPUB-41523523
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Summary

A patient in their early 20s with a complex psychiatric and medical history presented with severe electrolyte imbalance, dehydration, and progressive functional decline. After initial stabilisation, the patient developed recurrent episodes of hypotension, hypoglycaemia, and seizure-like activity despite normal neuroimaging and an established diagnosis of non-epileptic attack disorder. Repeated nursing safety checks revealed concealed medications, including antihypertensives, anticoagulants, semaglutide, and central nervous system depressants, all temporally associated with clinical deterioration and emergency responses. The patient's presentation raised concern for factitious disorder, compounded by comorbid anorexia nervosa, emotionally unstable personality disorder, and complex PTSD. This case highlights the diagnostic and ethical challenges of managing medically unstable patients whose presentations blur the boundaries between psychiatric and somatic illness. It illustrates the risks of reinforcing maladaptive behaviour through repeated interventions and prolonged hospitalisation, emphasising the importance of multidisciplinary collaboration, cautious escalation of care, and early involvement of psychological and ethical support.
CC BYText from Europe PMC. Highlighted sentences are the source of results.

Results from this study1

No result from this study comes from a test of the peptide.

Studies that did not test the peptide alone1

In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. These results are not evidence about taking Semaglutide.

  1. 01HumanNot a test of Semaglutide aloneCase report or seriesSafety outcome

    In a patient with suspected factitious disorder, several concealed medications, including semaglutide, were temporally associated with clinical deterioration and emergency responses.

    In plain wordsIn one patient, several hidden medicines, semaglutide among them, coincided with worsening illness; the effect of semaglutide alone is not separated.

    Peptide
    Semaglutide
    Outcome
    Not applicableClinical deterioration with concealed medications
    Study

    n = 1

    Outcome group
    Adverse events · Whole body

    Source sentences

    Summary
    Repeated nursing safety checks revealed concealed medications, including antihypertensives, anticoagulants, semaglutide, and central nervous system depressants, all temporally associated with clinical deterioration and emergency responses.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 2Current

    11 Oct 2026, 00:04 UTC

    Study results updated

  2. Version 1

    9 Oct 2026, 03:06 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

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