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In the comparator SGLT2i cohort, those with any prior SGLT2i use during the baseline period or any baseline or follow-up use of any GLP-1 RA were excluded

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Several studies have reported cases of regurgitation, vomiting, and aspiration in patients using GLP-1 RAs despite adherence to the fasting guidelines established by the American Society of Anesthesiologists (ASA), which recommend fasting for clear liquids up to two hours before surgery, light meals up to six hours before, and fatty meals up to eight hours before anesthesia induction [42]

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