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The use of short acting GLP-1RA drugs has shown to improve glycemic control and promote insulin sectretion (108, 108) To prevent these events, the recent recommendations from the American Society of Anesthesiology guidelines suggest discontinuing GLP-1 receptor agonists 1 day prior in patients on daily dosing and 1 week prior in patients on weekly injection dosing (108)

Dehydration and electrolyte imbalance can contribute to muscle tightness, cramps, or general discomfort in the back