holding glp 1 prior to colonoscopy how long stop before Guidelines recommend week hold for #ozempic and other #glp-1 agonist any procedure with sedation or anesthesia. Don't wait til the day before read instructions Should we hold GLP-1–based medications

(2022) Vitamin B12 and folate decrease inflammation and fibrosis in NASH by preventing Syntaxin 17 homocysteinylation

More research is needed to clarify this paradox (26, 27)

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GLP-1 Medications Pros: Non-surgical Effective for many patients Can help reduce appetite Considerations: Ongoing medication costs Weekly injections Potential side effects Long-term adherence may be required Bariatric Surgery Pros: Significant long-term weight loss No ongoing injections Proven results over decades of research Improvement in many obesity-related conditions Considerations: Requires surgery Recovery period Long-term commitment to healthy lifestyle habits Many patients who initially considered Ozempic or Wegovy ultimately decide to explore bariatric surgery because they want a more durable solution that does not depend on ongoing medication use

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