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These evidence-based recommendations address management of GLP-1 RAs perioperatively, and recommended changes in standard preoperative fasting times for both solid foods and liquids

Abrupt discontinuation may lead to sharp blood sugar changes, rapid appetite increases, and emotional frustration from unexpected weight regain

Seek medical advice if you're unable to keep fluids down or notice signs of dehydration

The evidence is promising but not definitive, and individual responses vary considerably based on genetics and starting anxiety levels

It works by reducing appetite, slowing digestion, increasing calorie burn, and improving insulin sensitivity, creating a comprehensive metabolic shift that supports sustained fat loss

The first two tiers are compounded formulations
