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Like the obesity drugs themselves, GLP-1 supplements are meant to be taken continuously

( [Google Scholar] 16.Yeo GSH, Chao DHM, Siegert AM, et al

The glucagon-like peptide 1 analogue exendin-4 attenuates the nicotine-induced locomotor stimulation, accumbal dopamine release, conditioned place preference as well as the expression of locomotor sensitization in mice

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Whats left is anecdotal evidence about how well they work

Suggest pre-op review 2 to 4 weeks prior for elective cases, discontinue or adjust according to agent half-life and GI effects, target glucose and insulin-bridge plans, document explicit handoffs, and reassert nutrition and wound risk post-op