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bioRxiv 2020 Sep 30 .Article 43
However, given the uncertainty of the interruption interval of these medications, gastric ultrasound appears to be a crucial tool for identifying patients at high risk of pulmonary aspiration In summary, emerging evidence suggests that perioperative use of GLP-1RAs is associated with delayed gastric emptying and greater RGC, which in turn may increase the risk of pulmonary aspiration

These medications slow digestion, regulate appetite, and increase insulin production

Cuthbertson DJ, Irwin A, Gardner CJ, Daousi C, Purewal T, Furlong N, et al

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Overall, its significantly more effective in my experience, but it requires a bit more patience and awareness with dosing
