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Before elective orthopaedic surgery, it is recommended to discontinue GLP-1 medications as they can delay gastric emptying and increase aspiration risk during anesthesia

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Managing Side Effects via Dose Timing Titration Strategy To minimize side effects and assess response: Week 12 : Start with 10 mg/day Week 34 : Increase to 1520 mg/day based on sleep, appetite, and training feedback Week 5+ : Maintain or increase to 25 mg/day if tolerated Gradual titration of MK-677 minimizes appetite disruption and metabolic side effects, particularly in individuals new to GH secretagogues. Rosen et al., Journal of Clinical Endocrinology & Metabolism Stacking MK-677 With Other Compounds One of MK-677s biggest strengths is its versatility