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Its not unheard of for patients to be on GLP-1 agonists for diabetes and weight loss, so include this in your pre-op checklist

Schauer PR, et al

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In Diverse Therapeutic Strategies Targeting TMAO, we curated the most pertinent preclinical and in vitro studies on TMAO, emphasizing findings associated with TMAO-induced cell death to deliver a thorough summary of its role in the development and progression of diseases along the gut-organ (lung, pancreas, heart, kidney, and brain) axis