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When to Consider Testing Testing may be useful: Before starting a GLP-1 medicine After a meaningful treatment change When diabetes goals are not being met When persistent gastrointestinal symptoms develop When food or fluid intake has significantly decreased When kidney or liver risk is already present When a prior result was abnormal When a healthcare provider recommends follow-up Testing frequency should be based on individual risk rather than an automatic monthly or quarterly panel for everyone

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Mounjaro is not available in pill form and is not appropriate for all patients

Pulmonary Aspiration During General Anesthesia or Deep Sedation: Inform patients that RYBELSUS or OZEMPIC tablets may cause their stomach to empty more slowly which may lead to complications with anesthesia or deep sedation during planned surgeries or procedures

Step 4 Maintenance Strategy

The GLP-1 component slows gastric emptying, meaning food stays in your stomach longer