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There have been rare post marketing reports of pulmonary aspiration in patients receiving GLP-1 receptor agonists undergoing elective surgeries or procedures requiring general anesthesia or deep sedation who had residual gastric contents despite reported adherence to preoperative fasting recommendations

This is still well within normal range and unlikely to affect performance or health

2018 Nov 17;392(10160):2180-2193

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Slowly dispense the liquid into the sublingual space