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One article found an increased incidence of aspiration pneumonia among GLP-1 users compared to non-users reporting a hazard ratio of 1.33 (95%CI 1.021.74, p = 0.036) (Australian Diabetes Society, National Association of Clinical Obesity Services, Gastroenterological Society of Australia, and Australian and New Zealand College of Anaesthetists n.d.)

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Integrating behavioral counseling and psychological monitoring for instance through motivational interviewing, cognitive-behavioral strategies, or digital adherence tools could enhance both pharmacologic and lifestyle outcomes