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In the ED: Fasting history is unreliable Treat as higher aspiration risk especially if symptomatic Anticipate vomiting and difficult visualization Practical considerations: Optimize positioning (ramped, head elevated, or slight reverse Trendelenburg) Use RSI when appropriate Minimize bag-mask ventilation Ensure suction is immediately available and functioning

If your insurance covers brand-name Wegovy or Ozempic, youll likely pay less with insurance than you would paying cash for compounded semaglutide

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doi: 10.1053/j.gastro.2017.02.016 128 GaridouLPomiCKloppPWagetACharpentierJAloulouMet al

Some peptides, like BPC-157 and TB-500, are not approved drugs and have not been through FDA drug review