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Central nervous pathways of insulin action in the control of metabolism and food intake
This perspective aligns with recommendations from the American Gastroenterological Association Institute Rapid Clinical Practice Update Newsletter, which suggests that implementing a liquid diet on the day preceding sedation or surgery may represent a more acceptable alternative to discontinuing GLP-1RAs therapy 185 (See Figure 6)
We have seen this happen, and this can be particularly problematic if your kidney function is already lower due to CKD." Patients with advanced CKD (eGFR between 1530 mL/min/1.73 m) or end-stage kidney disease (eGFR below 15 mL/min/1.73 m) require close monitoring since clinical data in these groups is limited
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