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Reflections on the discovery GLP-1 as a satiety hormone: Implications for obesity therapy and future directions

[6] [7] Current 2024 multi-society guidance from the ASA and other professional organizations suggests a risk-stratified approach: For most patients : Continue tirzepatide with appropriate precautions, such as a 24-hour clear liquid diet before surgery and consideration of point-of-care gastric ultrasound For high-risk patients : Consider holding one dose or implementing modified fasting protocols if patients are in the dose-escalation phase, experiencing active GI symptoms, on high doses, or have comorbid gastroparesis For urgent or emergent procedures : Surgery should not be delayed, but anesthesiologists should treat patients as having a full stomach and employ rapid sequence induction techniques This updated approach represents an evolution from earlier recommendations that suggested holding the medication for 7 days or longer before surgery

Dec 14 2021;10(12)doi:10.3390/plants10122751

Most compounding pharmacies will reship at no additional cost for genuine temperature excursions, especially during summer months when the problem is well known

To prevent this, eat structured, consistent meals even if not hungry