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There is no official contraindication to using GLP-1 receptor agonists in patients with hypothyroidism, and these medications do not directly interfere with thyroid hormone production or replacement therapy

Therefore, not adjusting fasting times or limiting only a certain group of patients to extended liquid fasting might lead to aspiration events in asymptomatic patients who follow the standard recommendations (8 h for solids, 2 h for clear liquids)

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