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Commenting on the guidance, Toni Brunning, vice president of the Royal College of Anaesthetists, said: We encourage patients to let their healthcare team know as early as possible in their peri-operative journey if theyre taking a GLP-1 or dual GIP/GLP-1 RA, as these medications wont necessarily show on hospital or GP records if theyve been purchased privately

However, in individuals with insulin resistance, appetite suppression alone often does not fully correct the underlying metabolic imbalance

This step-up approach helps the body adjust and may reduce stomach-related side effects such as nausea