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It's more about adjusting rather than eliminating

Park CH, Nam SJ, Choi HS, et al

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Per ASA guidance, if the medication wasnt held as advised and there are no GI symptoms, the anesthesia team may still proceed, using full stomach precautions or checking stomach contents by ultrasound first

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If youve got severe obesity and severe OSA and youre not an ideal MMA candidate right now, a course of GLP-1 therapy followed by surgical evaluation is a reasonable path