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Those who used Victoza alone experienced a decrease in BMD
Considering the prolonged half-life of most GLP-1 agonists currently prescribed, it is unfeasible to withhold these agents for weeks prior to surgery to achieve normalisation of gastric function with unknown impact on aspiration rates, appreciating the detrimental effects of poorer glycaemic control on withholding these agents and associated higher risk of peri/postoperative complications (major cardiovascular events, poor wound healing, increased wound infection etc.)
It is caused by the caloric restriction and rapid weight loss, which trigger a shift of hair follicles from the growth phase to the resting and shedding phase
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