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Description
In 2024 consensus-based guidance was formulated by representatives from the American Society of Anesthesiologists (ASA), the American Gastrointestinal Association (AGA), the American Society for Metabolic and Bariatric Surgery (ASMBS), the International Society of Perioperative Care of Patients with Obesity (ISPCOP), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) [19], according to which, use of GLP-1RAs and the management in the perioperative period should be based on shared decision-making of the patient, the anaesthetist, the prescribing care team, and the surgeon [19, 20]

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PlexusDx recommends genetic testing and a metabolic assessment first to determine whether optimized monotherapy or a evidence-backed dual-pathway alternative suits your physiology better

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A recent multi-society joint guidance statement advocated for an individualized approach based upon each patients unique factors rather than a one-size approach of holding this medication for all patients undergoing procedures [215]