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In June 2023, the American Society of Anesthesiologists (ASA) guidance suggested that patients anticipating anaesthesia discontinue short-acting GLP-1 RAs for 1 day and long-acting GLP-1 RAs for 1 week, while observing standard ASA fasting guidelines

For some patients, this may lead to greater overall weight loss or improved response, particularly if progress has slowed on other medications

Rossing P, Filippatos G, Agarwal R et al (2022) Finerenone in predominantly advanced CKD and type 2 diabetes with or without sodium-glucose cotransporter-2 inhibitor therapy

These metabolic changes are generally favorable from an insurance underwriting perspective but should be disclosed honestly to the examining physician so results are interpreted in proper context