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Another meta-analysis (July 2025), looking only at endoscopies, found an increased incidence of pulmonary aspiration among patients taking GLP-1 RAs (OR 2.29, 95% CI 1.36-3.87)

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While these signs are less specific than visual indicators, they are worth noting and investigating

In this article we compare mechanisms, dosing, outcomes, and real-world considerations so you can decide whether a clinician-supervised GLP-1 program is right for you