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Key items include: Lyophilized peptide vial: This contains the freeze-dried peptide (or protein) in powder form, often stoppered under vacuum

Medical supervision is crucial, particularly when adjusting doses, to ensure that the medications benefits are maximized while keeping side effects manageable

Treatment usually starts at a low dose and is increased in steps over several weeks, so the gut has time to adapt

If your anaesthetist advises temporary cessation, weekly GLP-1 injections such as semaglutide or dulaglutide are often paused with the last dose given at least 7 days before surgery

The risk of hypoglycemia is low with GLP-1-mimetic drugs (eg, exenatide [Byetta], liraglutide [Victoza]) because their effects are dependent on high levels of glucose in the bloodstream