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Remember that GLP-1 receptor agonists should not be combined with DPP-4 inhibitors, as both work on the incretin system

GLP-1 receptor agonists such as semaglutide and liraglutide work by enhancing satiety, reducing appetite, and improving metabolic parametersmechanisms that complement the physiological effects of surgery

Sci Rep (2017) 7(1):17490

10 - Recommendation 1: Shared decision making between procedural, anesthesia, and prescribing team should be used to determine the perioperative use of GLP-1 medications

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But if you are experiencing frequent vomiting during dose escalation on tirzepatide or your first weeks on semaglutide , pay extra attention to chloride replacement