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10.1152/physrev.00034.2006 57 HolstJ

NICE in the UK recommends a maximum of two years for semaglutide (Wegovy), though no such limit exists for tirzepatide (Mounjaro)

[3] If more time has passed than these windows, skip that dose entirely and resume with your next scheduled injection

Based on the available evidence at the time, the ASA released a statement advising holding GLP-1 RAs based on their dosing schedule in patients undergoing any type of elective procedures
