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For higher-risk patients, strategies may include a 24-hour liquid-only diet before the procedure, point-of-care gastric ultrasound where available, airway-protective techniques, or deferring the procedure until symptoms resolve

Patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should not use GLP-1 medications due to a theoretical risk of thyroid tumors observed in animal studies

This sweet spot is different for each person and depends on your metabolism, lifestyle habits, and how your body responds to GLP-1 medications

There are no special cases