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doi: 10.1016/j.exger.2017.12.005 184 SmithaJ

Combining them would increase side effect risk without adding meaningful efficacy

Therefore, discontinuation decisions should be individualized by balancing aspiration risk against metabolic stability, taking into account glycemic control, diabetes duration, and the presence of diabetes-related complications rather than adhering to uniform discontinuation protocols.Accordingly, gastrointestinal symptoms and delayed gastric emptying associated with GLP-1 RA therapy have important implications beyond glycemic control, serving as key factors in preoperative evaluation and surgical planning