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We recommend fasting for solids for 24 h (only clear liquids allowed) before procedures requiring anaesthesia for patients taking GLP- 1 RAs without significant gastrointestinal symptoms (significant symptoms include severe nausea, vomiting, and inability to tolerate oral intake and do not include fullness or early satiety) (Grade B)

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However, tirzepatide did not show a significant risk for biliary events

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