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The American Society of Anesthesiologists recently released a consensus-based guideline recommending holding [glucagon-like peptide-1 receptor agonists (GLP-1RAs)] before an endoscopic or surgical procedure to decrease the risk of aspiration, Yee Hui Yeo, MD, a resident in the Karsh Division of Gastroenterology and Hepatology at Cedars-Sinai Medical Center in Los Angeles, and colleagues wrote in Gastroenterology

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In clinical practice, a GLP-1 maintenance dose usually involves: Using the lowest effective dose Holding a dose steady rather than escalating Prioritising weight stability over further loss Can You Stay on Mounjaro or Wegovy Long Term

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Proper dosing requires slow titration to 2.4mg weekly over 12-16 weeks to minimize nausea and GI side effects