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Dr. Mejia is back with important information regarding GLP-1 medications! He's sharing the latest news about fasting before surgery if you take medications like ozempic or tirzepatide. Patient safety is the top priority! If you're currently using GLP-1 medications like Semaglutide or Tirzepatide for weight loss or blood sugar control, I want to share an important new update that can help keep you safe during any upcoming medical procedures." A new consensus statement, published in the British Journal of Anesthesia and co-sponsored by the American Association of Clinical Endocrinology, now recommends That you should fast from solid food for at least 24 hours before going under anesthesia—even for a routine procedure. That you should only stick to clear liquids during this time. And that you can continue your GLP-1 medication if you’re tolerating it well. So, Why do you need to fast for 24 hours before anesthesia? As you all know, GLP-1 medications slow gastric emptying to help with weight loss and blood sugar control. However, that same effect can leave food in your stomach longer. If you go under anesthesia with undigested food present, you may be at increased risk of aspiration—a serious complication. These new guidelines were based on a comprehensive review of 112 studies and developed using a rigorous consensus method. As lead author explains: “Fasting times are the most important factor to reduce the risk of residual gastric content in patients on GLP-1s.” So the bottom line is this: If you're scheduled for a procedure that requires anesthesia, you do not have to stop your GLP-1 if you are tolerating them well, but be sure to fast from solids for 24 hours, and only consume clear liquids.

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