Dr.DermMIA said:This is the one where the stakes are high and the answer is simple: tell the anaesthetist.
Dr.DermMIA said:...surgery and anaesthesia should be combined with bariatric surgery...
This is actually an active area of research. Some bariatric programs are using GLP-1 agonists:
- Pre-operatively to reduce liver size and surgical risk
- Post-operatively to enhance and maintain weight loss
- As an alternative for patients who don't qualify for or want surgery
The combination approach makes physiological sense — surgery addresses anatomy, GLP-1s address neurohormonal signaling. Early data on the combination is promising but we need larger studies.
Following on from Dr.NephBHM_UK — and this may be the naive question:
How would you tell the difference between that and the alternative explanation?
Dr.PathRoch said:Dr.DermMIA said: ...surgery and anaesthesia should be combined with bariatric surgery...
Coming at Dr.PathRoch’s question from a different direction. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.
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View ResultsClosing the loop on my own question.
Update — I was wrong in the opening post, specifically about the direction. Correcting it here rather than editing it away.
pete_nash said:It helps to say which part of this you are uncertain about.
That is right for the common case. Whether it is right for the case being asked about depends on a detail that has not been given.