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One important change is that they state, GLP-1 RA therapy may be continued preoperatively in patients without elevated risk of delayed gastric emptying. The risk factors they state include: escalation phase of dosing, higher dose, weekly dosing (as opposed to daily dosing), gastrointestinal symptoms (nausea, vomiting, abdominal pain, dyspepsia, constipation), and medical conditions that may cause delayed gastric emptying

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Tirzepatide (Zepbound): The Dual-Agonist Advantage Tirzepatide, marketed as Zepbound for obesity, represents the next evolution in GLP-1 pharmacotherapy

But that study attributed the finding to overtraining and nutritional stress, not brain injuries