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Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists: Risk of Aspiration during Anesthesia This bulletin describes a reported incident in which a patient experienced pulmonary aspiration of regurgitated gastric contents during anesthesia

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Older adults on other medications may be prone to dehydration, low blood sugar, or low blood pressure

Furthermore, studies using a peripherally administered exenatide analogue conjugated to vitamin B12, which is sterically hindered from accessing regions protected by the blood brain barrier, improves glucose control in comparable fashion to unmodified exenatide, presumably at the level of the -cell, but does not induce emesis in the house musk shrew ( Suncus murinus) or rats (78, 79)

For pharma companies aiming to satisfy this surging demand, the choice of delivery mechanism and delivery partner will have implications for supply chain capacity and resilience
