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Persistent or severe nausea, abdominal pain, or changes in liver enzyme labs warrant immediate provider contact and possible dose adjustment
The compounded effects of substance abuse and depression create a heightened risk for the development of diabetes through multiple metabolic and behavioral pathways [47]
These include a 24-hour liquid-only diet before the procedure, point-of-care gastric ultrasound immediately before anesthesia when available, adjustment of the anesthesia plan to reduce aspiration risk, and delaying elective procedures when risk is expected to decrease, such as after the dose-escalation phase or resolution of gastrointestinal symptoms
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