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The current recommendation is to stop GLP-1 medications several days before surgery and make sure your anesthesiologist knows

doi: 10.3390/ijms21051746 147 PaladuguLGharaibehAKolliNLearmanCHallTCLiLet al
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In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems to get worse
