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If you develop new gallbladder symptoms on GLP-1 therapy If biliary symptoms have started since beginning treatment, the diagnostic pathway is: Clinical history and examination Abdominal ultrasound the definitive imaging for gallstones Blood tests including liver function and inflammatory markers In selected cases, MRCP (a specialised MRI of the bile ducts) Once gallstones are confirmed, the question becomes whether to proceed with cholecystectomy

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The individual underwent multiple tests including upper and lower endoscopies, a hepatobiliary iminodiacetic acid (HIDA) scan, abdominal Doppler blood flow study, as well as multiple medications to relieve the gastroparesis symptoms