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nausea, vomiting, bloating, early satiety, dyspepsia Elective procedures: hold vs proceed is NOT the whole decision ASA consensus-based guidance suggests: Daily GLP-1 RA: consider holding on the day of surgery Weekly GLP-1 RA: consider holding 1 week before surgery But the key clinical reality highlighted in recent reviews is that residual gastric content can still occur despite typical fasting and even after interruption in some patients, so a fixed safe hold time should not be relied on alone

He obtained his medical degree in India and then spent 5 years at Albert Einstein College of Medicine, NY in liver research and clinical training followed by training in GI and Transplant Hepatology at University of Washington, Seattle

According to Shuja et al 11 in his study, plasma GSH levels in melasma patients decreased significantly compared to controls and are thought to be a risk factor in the severity of melasma

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