Routine monitoring is appropriate for: Mild redness or swelling at the injection site that resolves within a few days Slight itching without other symptoms Small, painless nodules at injection sites that gradually diminish Keep a record of when reactions occur, their appearance, duration, and any accompanying symptoms
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Risk factors that may influence the decision to pause treatment include: Being in the dose-escalation phase of GLP-1 therapy Experiencing active gastrointestinal symptoms (nausea, vomiting, bloating) Having known gastroparesis or other conditions affecting gastric emptying Taking concurrent medications that further delay gastric emptying (e.g., opioids) Undergoing procedures with higher aspiration risk (e.g., emergency surgery, airway surgery) If your anaesthetist or surgical team advises temporary cessation based on your individual risk assessment, the timing will depend on the specific medication: Daily injections (such as liraglutide): Typically paused 24 hours before surgery Weekly injections (such as semaglutide, dulaglutide): Often paused with the last dose given at least 7 days before surgery Oral semaglutide (Rybelsus): Usually paused 24 hours before surgery However, these timings may vary according to local NHS Trust protocols and individual clinical assessment
In this post, well dive into why semaglutide makes you tired and, most importantly, how to get your energy back
Or none at all
Second, the gradual build allows your body to re-establish steady-state levels safely
