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So, GLP-1s came out in the perfect time, frankly, because not only can almost everybody prescribe it whos comfortable prescribing it, but you can also have many clinics and sites offering this compared to bariatric endoscopy or bariatric surgery, said Advani, a member of the American College of Gastroenterology

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[1] [4] Whilst these mechanisms provide significant metabolic benefits, they may create specific perioperative considerations that sometimes necessitate temporary discontinuation before surgical procedures

This could be caused by d-carnitine itself, or indirectly by the lipotoxicity it induced, which is the result of excess fat deposition