This fasting period is meant to minimise the risk of aspiration of gastric contents, a potentially serious complication where gastric contents can enter the lungs during the procedure
Allain, B
doi:10.1007/s00592-025-02468-5 Alalwani YJ, Alshahrani AS, Alsudays AI, et al
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Sexual health is an integral component of overall wellbeing, and your doctor can help determine whether any changes are related to the medication, weight loss, underlying health conditions, or other factors

FDA-labeled warnings include: Risk of thyroid C-cell tumors (contraindicated in patients with personal/family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2) Pancreatitis (report severe abdominal pain, with or without vomiting) Gallbladder disease (including gallstones and cholecystitis) Acute kidney injury secondary to dehydration from gastrointestinal symptoms Hypoglycemia when used with insulin or insulin secretagogues (dose adjustments may be needed) Diabetic retinopathy complications in patients with type 2 diabetes and pre-existing retinopathy Suicidal behavior and ideation (monitor for depression or suicidal thoughts) Intestinal obstruction/ileus (particularly with severe constipation) These medications are contraindicated during pregnancy and should be discontinued at least two months before a planned pregnancy