Poor control (HbA1c 9-10%) overwhelms any peptide benefit
Treadwell T, Kleinman HK, Crockford D, Hardy MA, Guarnera GT, Goldstein AL
General principles for restart: Tolerating a full diet without nausea or vomiting for at least 48 hours Normal bowel function has returned (passing gas, having bowel movements) No active wound infection or impaired healing Stable hydration without IV fluid support Surgical team has cleared resumption of pre-op medications Typical restart windows by surgery type: For most routine surgeries, the practical question is whether you're eating normally and whether your incision is healing well
It is administered as a once-weekly injection, with dose gradually escalated to the 2.4 mg target dose if tolerated
This gradual reduction continues predictably, allowing your body time to adjust to changing hormone levels throughout the treatment period
Thats where bariatric surgery and similar procedures come in