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Here's what your anesthesia team wants you to know about taking GLP-1s before surgery. • • • • • GLP1 | GLP-1 | GLP-1 and surgery | GLP-1 and anesthesia | American Society of Anesthesiologists | ASA | anesthesia | anesthesiology

Reduce Chronic Stress (Cortisol Blocks GLP-1) Chronic stress: lowers SCFA-producing bacteria reduces natural GLP-1 secretion increases cravings disrupts appetite rhythm Thus, stress reduction (sleep, mindfulness, lifestyle) is part of metabolic restoration

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43 Albiglutide did not improve myocardial glucose use or myocardial oxygen consumption, cardiac efficiency or the 6MWT distance