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Cardiovascular symptoms : Call 999 or go to A&E if cold sensitivity is accompanied by chest pain, severe shortness of breath, palpitations, or swelling of the legs

Patients who want a baseline can upload existing labs to the portal or order an at-home lab kit at their own expense (roughly $175$250)

PREOPERATIVE RECOMMENDATIONS FOR GLP-1 RA MANAGEMENT PREOPERATIVE RECOMMENDATIONS FOR GLP-1 RA MANAGEMENT The ASA and the British Journal of Anaesthesia (BJA) published clinical recommendations in 2023 and 2024, respectively, addressing the perioperative management of patients treated with GLP-1 RAs [4,5]

This is the biggest practical concern

Talk to your healthcare provider about any side effects you may be experiencing