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Referral triggers include persistent hyperglycemia despite therapy, suspected pancreatitis, acute kidney injury, gallbladder disease, or concerning cardiovascular symptoms

Studies that include patients who are considered at-risk (i.e., diabetics, cardiac, elderly, etc.) and are currently taking GLP-1 RAs should also be performed as these patients may have compounding risk during the perioperative period which may make them more susceptible to complications related to GLP-1 use (Santos et al

There are anecdotes suggesting that creatine has other side effects

Most of our clients begin with three shots a week and gradually move to one shot a week