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If you have experience with other GLP-1 or GIP agonists, this comparison helps set expectations

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Retained gastric contents have been documented despite standard fasting, especially in selected higher-risk patients, but large observational data have not consistently shown a major increase in postoperative aspiration pneumonia

Beyond the first ASM performance year, for which we would give approximately 1 year notice of mandatory participation, we note that we intend to notify clinicians of their mandatory ASM participation status for all subsequent ASM performance years at least 6 months prior to the start of the ASM performance year, depending on data availability