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Based on the available evidence at the time, the ASA released a statement advising holding GLP-1 RAs based on their dosing schedule in patients undergoing any type of elective procedures

GLP-1RAs in obesity treatment Weight loss efficacy GLP-1 receptor agonists exhibit significant weight loss via many molecular routes

Iron stores often run low from heavier or erratic cycles

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Additionally, the appetite suppression that makes these medications effective for weight management may inadvertently reduce overall fluid intake, as patients often consume less food and beverages throughout the day