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Algorithm for patients presenting for elective surgery while taking glucagon-like peptide-1 receptor agonists (GLP-1 RAs)

A more comprehensive list of AMPKs actions can be found in a recent review by Ruderman et al

Everything in Protocol 1, plus: Probiotic: 10-30 billion CFUs daily (multi-strain with Lactobacillus and Bifidobacterium) Ginger extract: 250 mg four times daily (or 1-2 grams raw ginger) Vitamin B6: 10-25 mg daily for nausea Electrolytes: Sodium, potassium, and magnesium if experiencing dizziness or dehydration Expected benefits: Reduced nausea, more regular bowel movements, less bloating, better tolerance of the medication especially during the early side effect period

They will discuss your weight loss goals and medical history

This is why it is so important to set realistic expectations before beginning injections

These findings suggest that glucagons role in obesity pharmacotherapy is more complex than its isolated hyperglycemic action