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Most patients on compounded GLP-1s should do baseline labs (A1c, fasting glucose, lipids, kidney function, liver function, TSH) before starting and at least once mid-treatment

However, anaesthetists must be aware that withholding the therapy in patients with type 2 diabetes mellitus may increase the risk of perioperative hyperglycaemia, which can, in turn, elevate the likelihood of postoperative complications, such as wound infections [22]

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Together, these effects support better blood sugar control and steady progress toward weight management goals