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Patients with a history of pancreatitis, severe gastrointestinal disease, gallbladder problems, certain endocrine cancers, or complex medication regimens should be evaluated carefully before considering incretin-based therapies

Communication between perioperative teams and prescribing clinicians is particularly important when medication interruption is being considered, as discontinuation may require individualized management plans to maintain glycemic control and therapeutic effectiveness

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82 Adrenal stress hormones raise blood pressure, and lysine is needed to keep these hormones at a healthy level