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It is recommended that these medications be stopped 5 days prior to surgery, and not to be resumed until a reasonable amount of calories are consumed on a daily basis

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Reduction of macrophage infiltration and chemoattractant gene expression changes in white adipose tissue of morbidly obese subjects after surgery-induced weight loss

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Patients with moderate kidney disease (eGFR 30-60) may use GLP-1 medications with careful monitoring, but severe kidney disease (eGFR below 30) makes compounded semaglutide inappropriate