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Your anaesthetist and diabetes team will assess your individual risk factors, procedure type, and local protocols to determine whether you should continue or temporarily withhold your medication

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Dose reduction, slower titration schedules, or temporary pauses allow the nervous system to acclimate

It influences the nitric-oxide (NO) system and the dopaminergic and serotonergic systems, which is why anti-inflammatory and gut-brain-axis effects also appear in the literature

Dose adjustments of other antidiabetic agents may be necessary when initiating GLP-1 receptor agonists

This is why many turn to supplements such as oral capsules, glutathione sublingual tablets, or i ntravenous (IV) injections to boost their levels effectively