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Additional precautions may include extended fasting periods beyond standard protocols, preoperative ultrasound to assess gastric contents, and consideration of rapid sequence induction for general anesthesia

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By binding to GLP-1 receptors, these medications enhance glucose-dependent insulin secretion from pancreatic beta cells, suppress inappropriate glucagon release, slow gastric emptying, and promote satiety through central nervous system pathways

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The inclusion and exclusion criteria also varied

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Although the findings in the CANVAS trial showed a higher risk of amputation when taking canafliglozin compared to placebo [92], no significant difference in the risk of this complication was observed in the CREDENCE study [88]

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This improvement is achieved by activating the Nrf2/HO-1 antioxidant pathway, inhibiting the NF-B-mediated inflammatory response, and blocking the TGF-/Smad3 fibrotic pathway as well as the Ripk1/Ripk3/Mlkl necroptosis pathway [231]

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Branded medications like Ozempic and Zepbound are FDA-approved drugs manufactured by pharmaceutical companies with extensive clinical trial data

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