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This is why stopping suddenly can sometimes feel different, not unsafe, but noticeable

"Food could potentially remain in the stomach longer, increasing the risk of aspiration and pneumonia if it enters the windpipe during procedures." In response to these concerns, the American Society of Anesthesiologists recommended that patients discontinue GLP-1 agonists at least seven days before any surgery or endoscopy

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NICE obesity guidance (CG189) recommends a structured approach to weight management that begins with lifestyle interventionsincluding dietary modification, increased physical activity, and behavioural support