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However, the combination brings a higher risk of side effects, including cognitive changes, tingling sensations, and potential blood sugar drops

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Patients should be educated about red flag symptoms requiring immediate medical attention, including severe persistent abdominal pain (especially if radiating to the back, suggesting possible pancreatitis), right upper quadrant pain with fever or jaundice (potential gallbladder disease), inability to keep fluids down for more than 24 hours, syncope, chest pain, or difficulty breathing

Inclusion criteria were: (1) original research evaluating GLP-1RAs in the context of ophthalmic disease, (2) published in English
We recommend fasting for high-carbohydrate content clear liquids (10% glucose) for 8 h before procedures requiring anaesthesia for patients taking GLP-1 RAs without significant gastrointestinal symptoms (significant symptoms include severe nausea, vomiting, and inability to tolerate oral intake and do not include fullness or early satiety) (C)
