Factors that may influence perioperative management include: Medication characteristics : Daily GLP-1 medications (liraglutide, oral semaglutide) have shorter durations of action than weekly formulations (injectable semaglutide, dulaglutide, exenatide extended-release) [3] Risk factors : Higher doses, recent dose increases, active gastrointestinal symptoms, or known gastroparesis may increase risk [1] [3] Procedure type : More complex surgeries or those requiring general anaesthesia may warrant different approaches than minor procedures Individual patient factors : BMI, presence of diabetes, and other medical conditions Some anaesthetists may recommend temporarily pausing GLP-1 therapy before certain procedures, particularly for patients with additional risk factors
Risks of Double-Dosing GLP-1 Medications If you feel youve fallen behind on your GLP-1 medication schedule by missing a dose, it might seem like injecting twice is a good idea
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Many patients tell him they can finally stick with healthier eating patterns because they feel full sooner and no longer feel driven to eat certain foods
However, randomized controlled trials (RCTs) have not demonstrated this association, although most of these trials were of short duration and none were designed or powered to assess the risk of cancer [13-15]
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