Change in BW, BMI and HbA1c before and after LSG and semaglutide treatment. BW, BMI (A) (B), and HbA1c (C) (D). Parameters were measured before LSG, 12 months after LSG (A) (C), before semaglutide, and after 12-month semaglutide (B) (D). Semaglutide was initiated a median of 52 (22–77) months after LSG. Data are presented as mean ± SD. BW, body weight; BMI, body mass index.