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These include: Hypoglycemia

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Importantly, their influence extends to skeletal muscle, where GLP-1 RAs promote glucose uptake via the AMP-activated protein kinase pathway, increase vascular blood flow, and mitigate glucotoxicity, thereby supporting muscle protein synthesis and inhibiting catabolic pathways [14, 15]

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Example: A patient taking a daily GLP-1 at 08:00 should skip the dose scheduled for the morning before a noon surgery and report the skipped dose to the surgical team