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This recommendation was developed following 6 cases of non-fatal aspiration in fasted patients taking GLP-1 RAs, and is aimed at reducing the risk of the much-feared pulmonary aspiration seen in unfasted patients with an unprotected airway
Tesamorelin peptide is explained in more detail here
"Gamma-glutamyltransferase as a risk factor for cardiovascular disease mortality: an epidemiological investigation in a cohort of 163,944 Austrian adults." Circulation
Patients with non alcoholic fatty liver disease, which is common in obesity, often experience substantial liver enzyme improvements on tirzepatide
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