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One of his freight shipments of coffee beans had become damaged from the sea water

Update: An October 2024 Clinical Practice Guidance joint statement by multiple medical societies (American Society of Anesthesiologists (ASA), American Gastroenterological Association, American Society for Metabolic and Bariatric Surgery, International Society of Perioperative Care of Patients with Obesity, and the Society of American Gastrointestinal and Endoscopic Surgeons) states that most patients should continue taking their GLP-1 drugs before elective surgery

Electrolyte Support Because of the risk of metabolic changes, many patients find that adding an electrolyte supplement can help manage side effects like dizziness or fatigue

Anesthetic Concerns Anesthesia carries risk for anyone, more so for patients with cardiovascular disease, uncontrolled hypertension, or significant metabolic disease

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Due to the decrease in GH secretion, the secretion of IGF-1, which is driven by GH release, was also drastically reduced