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Vitamin B12 can be injected just under the skin, or directly into the muscle
Clinical consequences of excess adiposity in cats Excess adiposity in cats is linked to multiple pathologies, most notably insulin resistance and type 2 diabetes mellitus, orthopedic disease, and decreased physiological reserve
[6] [7] Current 2024 multi-society guidance from the ASA and other professional organizations suggests a risk-stratified approach: For most patients : Continue tirzepatide with appropriate precautions, such as a 24-hour clear liquid diet before surgery and consideration of point-of-care gastric ultrasound For high-risk patients : Consider holding one dose or implementing modified fasting protocols if patients are in the dose-escalation phase, experiencing active GI symptoms, on high doses, or have comorbid gastroparesis For urgent or emergent procedures : Surgery should not be delayed, but anesthesiologists should treat patients as having a full stomach and employ rapid sequence induction techniques This updated approach represents an evolution from earlier recommendations that suggested holding the medication for 7 days or longer before surgery
Regular health checks, evidence-based nutrition advice, and small lifestyle changes can make a significant difference
