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Rybelsus (semaglutide) is an oral GLP-1 receptor agonist that slows gastric emptying, which may theoretically increase aspiration risk during anaesthesia

When medically appropriate, prescriptions may be fulfilled through licensed partner pharmacies, including compounding pharmacies, in accordance with state and federal regulations

Medication management strategies: If respiratory symptoms are temporally related to GLP-1 therapy and no alternative explanation is identified, several approaches may be considered: Dose adjustment: Reducing the dose or slowing the titration schedule according to FDA-approved labeling may alleviate symptoms if they are related to medication effects or gastrointestinal complications

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A commonly recommended range is 1.2 to 2.4 grams of protein per kilogram of body weight (g/kg/bw) per day