Health
Ozempic patients may face dangerous risks during surgery, doctors warn
Patients who are taking GLP-1 medications such as Ozempic, Wegovy, Mounjaro and others could face complications during surgery, recent research has shown.
In one study led by UTHealth Houston, more than half of patients taking GLP-1s had “significant gastric contents” before going into surgery, even if they had followed pre-op fasting protocols, according to a press release on the university’s website.
This could lead to a potentially life-threatening condition called pulmonary aspiration, when food or liquid is inhaled into the lungs.
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GLP-1 (glucagon-like peptide) receptor agonists are commonly prescribed to patients with type 2 diabetes (to stabilize blood glucose levels) or obesity (to assist with weight loss).
“These medications slow down digestion, which means food stays in the stomach longer,” said Dr. Alfred Bonati, the founder of the Bonati Spine Institute in Florida.
Patients who are taking GLP-1 medications such as Ozempic, Wegovy, Mounjaro and others could face complications during surgery, recent research has shown. (iStock; Getty Images)
Pulmonary aspiration can cause severe lung damage, infections or even death, Bonati warned.
“General anesthesia can also cause nausea, and the slowed digestion from weight-loss meds can exacerbate this, leading to a higher risk of vomiting during surgery,” he said.
“These medications slow down digestion, which means food stays in the stomach longer.”
Dr. Brett Osborn, a board-certified neurosurgeon and section chief at St. Mary’s Medical Center in Florida, always advises his patients who are taking GLP-1 agonists to stop the medication at least one week before a surgical procedure, he said.
In addition to aspiration, Osborn warned of the increased risk of postoperative ileus, a dysfunction of the intestines after surgery.
GLP-1 (glucagon-like peptide) receptor agonists are commonly prescribed to patients with type 2 diabetes, to stabilize blood glucose levels — or patients with obesity, to assist with weight loss. (iStock)
“This could predispose patients to significant problems, including bowel ischemia (a rare circulatory condition that occurs when blood flow to the intestines is reduced),” he told Fox News Digital.
Healing is a secondary concern among patients taking GLP-1s, according to Osborn.
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“Those following a hypocaloric diet, as is the case with patients on GLP-1 agonists, may potentially inhibit healing and recovery from surgery, which requires a caloric surplus, particularly from protein-laden foods,” he said.
Proper nutrition is crucial for tissue recovery, Osborn said.
Proper nutrition is essential to healing after surgery, a doctor said. (iStock)
“By inducing a relative state of malnutrition, these medications can be problematic in perioperative patients.”
Dr. Jean-Carlos Jimenez, medical director at Attune Med Spa in Connecticut, agreed that these medications can lead to complications during surgery.
ASK A DOCTOR: ‘WHAT SHOULD I DO, OR NOT DO, PRIOR TO SURGERY?’
“GLP-1 agonists can cause nausea, vomiting and something known as delayed gastric emptying, or gastroparesis — which means the stomach takes longer than usual to empty its contents into the small intestines,” he told Fox News Digital via email.
“Residual gastric content can increase the risk of pulmonary aspiration during anesthesia and potentially worsen post-operative recovery.”
Surgery is known to alter blood sugar levels due to stress from the procedure, a doctor noted. (iStock)
Surgery is also known to alter blood sugar levels due to stress from the procedure, Jimenez added.
Due to these risks, doctors agree that patients should review all the medications they’re taking with their surgeon and anesthesiologist.
For surgical procedures that require patients to fast or remain on a clear liquid diet, they may need to do this for a longer period of time, said Jimenez.
“The timing of when to stop will depend on the type of GLP-1 agonists a patient uses, but can range from holding the daily dose on the day of surgery to holding the scheduled weekly dose one week before a planned procedure,” he told Fox News Digital.
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GLP-1s typically can be restarted at the next scheduled dose, but should be carefully monitored by the doctor, he advised.
The timing can depend on the type of surgery and the patient’s overall condition, according to Bonati.
Due to the risks, doctors say patients should review all their medications with the surgeon and anesthesiologist. (iStock)
“It’s crucial to follow the instructions provided by the health care providers, as they will tailor the advice to your individual health needs and the specifics of your surgery,” he added.
In June 2023, the American Society of Anesthesiologists published an announcement warning of the risks and recommending that patients consider pausing their doses in the days or weeks leading up to an elective surgical procedure.
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The American Association of Nurse Anesthesiology has issued a similar recommendation.
Fox News Digital contacted Novo Nordisk, maker of Ozempic and Wegovy, requesting comment.
Health
Rise of weight-loss pills could drive down the cost of airplane tickets
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Airfare could become cheaper due to people slimming down, a new theory suggests.
Analysts at Jeffries are predicting that the expanded use of GLP-1 obesity drugs may reduce fuel consumption, which could translate into lower costs for airplane tickets, as Fox Business has reported.
The Wall Street firm suggested that a 10% reduction in average passenger weight could lead to about a 2% savings in aircraft weight, 1.5% lower fuel costs and a 4% boost to earnings per share.
OLDER AMERICANS ARE QUITTING GLP-1 WEIGHT-LOSS DRUGS FOR 4 KEY REASONS
“A slimmer society = lower fuel consumption,” Jeffries reportedly wrote in a note to clients. “Airlines have a history of being vigilant around aircraft weight savings, from olives (pitless, of course) to paper stock.”
These predictions come as weight-loss drug options are growing and the first GLP-1 pill has hit the market, making the medication more accessible.
Jeffries predicts that a 10% reduction in average passenger weight could lower flight costs. (iStock)
Gary Leff, a Texas-based travel industry expert and author of the blog “View From the Wing,” elaborated on this prediction in an interview with Fox News Digital.
“The heavier something is, the more fuel it burns,” he said. “If passengers weigh less, planes require less fuel to fly. If everyone went to the bathroom before they flew, they’d weigh less and burn less fuel, too.”
OBESITY EXPERT REVEALS THE BEST WAY TO DECIDE IF GLP-1S ARE RIGHT FOR YOU
“So, if average passenger weight declines, then flying the same plane on the same route will cost the airline less to operate,” he went on. “And in the most contestable markets, that will bring down fares, too, as airlines compete for passengers.”
Leff suggested that this won’t be true in all markets. Where the “supply of flights is constrained,” like in major cities, these lower costs are more likely to benefit the airlines than the passengers, as “costs fall, but fares do not.”
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From a clinical perspective, Dr. Krishna Vyas, a plastic surgeon in New York City, noted that under current conditions, the use of GLP-1 medications is “too limited, too uneven and too short-lived to meaningfully lower average passenger weight at a population level.”
GLP-1 drug use is “too limited” to “meaningfully lower” average passenger weight at a population level, according to an expert. (iStock)
“Most patients discontinue therapy within one to two years, and weight regain after stopping treatment is common, making durable, large-scale reductions in passenger mass unlikely,” he told Fox News Digital. “Even if modest fuel savings were realized, there is no evidence they would translate into lower ticket prices.”
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“GLP-1 medications represent a significant medical advance for individual cardiometabolic health, but extending their benefits to speculative effects on airline economics goes beyond what current clinical and population data support,” Vyas continued.
“Until broader access, durable adherence and sustained population-level outcomes are demonstrated, cheaper airfare should be viewed as a theoretical possibility — not a predictable consequence — of weight-loss drug use.”
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Dr. Peter Balazs, a hormone and weight loss specialist in New York and New Jersey, discussed how GLP-1s could potentially impact the in-flight experience.
“Patients on GLP-1s experience reduced cravings for carbohydrates and a heightened preference for protein and fats,” he said. “Airlines may need to reconsider in-flight menus to cater to this growing demographic, offering more high-protein, low-carb options.”
“Airlines may need to reconsider in-flight menus to cater to this growing demographic, offering more high-protein, low-carb options.” (iStock)
Balazs noted that weight-loss medications can lead to gastrointestinal side effects, including GERD, dyspepsia, nausea and vomiting.
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“From a medical standpoint, I would suggest loading up on antiemetics (medications that prevent or relieve nausea and vomiting),” Balazs shared as advice to the airlines. “Furthermore, I would counsel patients not to initiate therapy or administer a first dose shortly before a flight to avoid severe side effects at altitude.”
Health
Common vitamin in everyday foods may control speed of digestion, study says
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A common vitamin found in everyday foods may play a role in how often people go to the bathroom, according to a large new study.
Researchers found evidence that vitamin B1, also known as thiamine, is linked to gut motility, which is the process that moves food through the digestive system.
The international team — led by Mauro D’Amato, a professor of medical genetics at LUM University and a research professor at CIC bioGUNE — analyzed genetic and health data from more than 268,000 people of European and East Asian ancestry, according to a press release.
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Participants reported how frequently they went to the bathroom, which researchers used as a practical measure of gut motility.
“We used genetics to build a roadmap of biological pathways that set the gut’s pace. What stood out was how strongly the data pointed to vitamin B1 metabolism, alongside established mechanisms,” first author Dr. Cristian Diaz-Muñoz, a postdoctoral researcher in the Gastrointestinal Genetics Lab at CIC bioGUNE, located in the Bizkaia Science and Technology Park in Spain, said in the release.
Researchers found evidence that vitamin B1, also known as thiamine, is linked to gut motility, which is the process that moves food through the digestive system. (iStock)
B1, also known as thiamine, is linked to gut motility, which is the process that moves food through the digestive system. By scanning millions of genetic markers, the team identified 21 genetic regions tied to how often people had bowel movements, including several that had not previously been connected to digestive function.
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Many of the signals pointed to pathways already known to be important for digestion, like bile acid metabolism and nerve signaling, which control the rhythmic contractions of intestinal muscles, the release stated.
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The most unexpected finding involved genes linked to thiamine metabolism. Two genes in particular, which help to transport and regulate vitamin B1 in the body, showed strong associations with stool frequency.
The team scanned millions of genetic markers to identify DNA associated with differences in stool frequency. (iStock)
To explore whether this translated into everyday behavior, the researchers examined dietary data from nearly 100,000 participants in the UK Biobank.
They found that people who consumed higher amounts of vitamin B1 tended to have more frequent bowel movements.
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However, this relationship wasn’t seen in every case. The effect changed depending on a person’s genetic makeup, suggesting that genes are involved in the body’s processing of the vitamin.
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Vitamin B1 plays a central role in energy metabolism and nerve function, including the nerves and muscles that coordinate movement in the gut, according to the National Institutes of Health.
Study limitations
The study, which was published in the scientific journal Gut, did have some limitations.
Frequency is an indirect measure of gut motility and does not capture stool consistency, discomfort or other symptoms relevant to digestive disorders, the researchers acknowledged.
Two genes in particular, which help transport and regulate vitamin B1 in the body, showed strong associations with stool frequency. (iStock)
The study also relied on self-reported dietary data, which can be imprecise.
Genetic associations do not prove cause and effect, the researchers noted.
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The results do not conclusively show that taking vitamin B1 supplements will change bowel habits, nor do they establish the biological pathway through which thiamine might influence digestion.
People experiencing digestive issues should consult a doctor for guidance.
Health
Jelly Roll’s wife says weight-loss drug sent her into ‘worst suicidal depression’
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This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).
Bunnie XO, the wife of country singer Jelly Roll, is discussing how a weight-loss medication may have led to her experiencing a “dark” depression.
During an episode of her podcast “Dumb Blonde,” Bunnie, whose real name is Alyssa DeFord, revealed that she had been taking a new drug by Lilly called retatrutide (reta), which is currently in late-stage trials and not approved by the FDA.
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Bunnie, 45, confirmed that she received her dose from a “reputable wellness center” in Nashville, and felt sick within the first week. Within two weeks, she noticed she looked and felt slimmer. In the fourth week, she increased her dose by one unit, which is when she noticed the “mental numbness.”
“I literally got sent into the worst suicidal depression that I’ve had since 2020,” she said. “I’m talking like it scared me so bad. I didn’t think I was going to make it through the two weeks. Like I was praying to God.”
Bunnie XO, the wife of country singer Jelly Roll, is discussing how a weight-loss medication may have led to her experiencing a “dark” depression. (Christopher Polk/Penske Media via Getty Images)
The podcaster shared how she had “no emotion” and couldn’t listen to music that would typically “bring me joy.”
“You could see like my eyes were black,” she said. “I just drove in silence because I just couldn’t handle anything. It was either overstimulating or it was to the point where it just stole my joy. I had no joy, like nothing to live for. It was so dark.”
OBESITY EXPERT REVEALS THE BEST WAY TO DECIDE IF GLP-1S ARE RIGHT FOR YOU
After 20 days off the drug, Bunnie reported that her joy is “finally” returning, calling the experience a “battle.”
“My story is not what’s going to happen to you,” she shared with her listeners. “There’s so many people who are taking reta and love it and all that. But something happened with me.”
“My story is not what’s going to happen to you,” Bunnie XO shared with her listeners. “There’s so many people who are taking Reta and love it and all that. But something happened with me.” (Taylor Hill/WireImage)
Indiana-based drug-maker Lilly confirmed in a statement to Fox News Digital that retatrutide is an “investigational molecule that is legally available only to participants in Lilly’s clinical trials.”
“No one should consider taking anything claiming to be retatrutide outside of a Lilly-sponsored clinical trial,” the spokesperson wrote. “This was not a Lilly product, and the company continues to warn the public about the potential dangers of fake medicines.”
“This was not a Lilly product and the company continues to warn the public about the potential dangers of fake medicines.”
Fox News senior medical analyst Dr. Marc Siegel reacted in an interview with Fox News Digital, warning that retatrutide should not be taken while it has still not received FDA approval unless it is part of a clinical trial.
“This drug is new — known as a triple agonist (GLP-1, GIP and glucagon receptor agonist),” he said. “[It] has been linked potentially to depression and suicidal thoughts, as have the GLP-1 drugs, where some studies have shown increased psychiatric risks, so there is a potential link here.”
What is retatrutide?
The drug has received the nickname “GLP-3” because it targets the three hormones, which experts suggest could lead to more substantial weight loss.
Lilly announced results from its phase 3 trial TRIUMPH-4 in December, which tested retatrutide’s effect on weight loss and other health conditions.
“GLP-3s” are positioned to “approach bariatric surgery level outcomes,” although it doesn’t come without risks, one expert said. (iStock)
Participants with obesity and knee arthritis who took a 12-mg dose of retatrutide saw an average weight loss of 71.8 lbs (28.7%) at 68 weeks.
“We believe retatrutide could become an important option for patients with significant weight loss needs and certain complications, including knee osteoarthritis,” a Lilly spokesperson said in a statement to Fox News Digital.
Seven additional phase 3 trials for retatrutide are expected to wrap up in 2026. The drug could see FDA approval in 2027, according to GoodRx.
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Despite limited data availability on the drug, the medication could also be applied to treat other conditions like type 2 diabetes, kidney disease, cardiovascular risk reduction and metabolic dysfunction, according to GoodRx and other experts.
Siegel confirmed that retatrutide’s side effects can be similar to other GLP-1s, including gastrointestinal symptoms and other rare reactions like pancreatitis, gallstones and heart arrhythmia.
Retatrutide could lead to more substantial weight loss for some patients, according to experts. (iStock)
Philip Rabito, M.D., a specialist in endocrinology, weight loss and wellness in New York City, shared in a previous interview with Fox News Digital that this new class of weight-loss drugs is positioned to “approach bariatric surgery level outcomes” — although it doesn’t come without risks.
“The novel glucagon‑agonist component introduces less‑understood long‑term safety considerations, so it is imperative that patients are followed closely by healthcare professionals experienced with this class of medicines, with cautious, stepwise use, despite the impressive efficacy,” he cautioned.
The mental health connection
The potential link between mental health symptoms and weight-loss drugs is most likely due to the impact on the brain’s reward system, according to Siegel.
“Dopamine, serotonin and norepinephrine affect mood and appetite, reduce cravings and can have a positive effect on mood, but also can be negative,” he said. “Somewhat unpredictable.”
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Dr. Peter Balazs, a hormone and weight-loss specialist in New York and New Jersey, noted that any presentation of significant depressive symptoms, particularly those including “psychotic features and suicidal ideation,” requires a full clinical evaluation.
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“It is essential to understand the patient’s complete medical and psychiatric history, including other medical conditions, precise weight change dynamics, concomitant medications and psychosocial stressors,” he said. “Major depressive episodes are multifactorial — attributing them to a single agent without this context is premature.”
Patients should be screened for mental health complications before taking weight-loss medication, experts suggest. (iStock)
Any individual experiencing these symptoms should “seek immediate professional help,” Balazs said.
“We are still learning about the psychiatric effects of these medications, even the ones that have already been approved,” he added.
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Bunnie’s age would typically place her in the perimenopausal stage, which can include “significant fluctuations” in reproductive hormones like estrogen, Balazs noted.
“Estrogen has well-documented neuroprotective and mood-stabilizing effects,” he said. “Its decline can render the brain more vulnerable to stress and dysregulation, potentially precipitating or exacerbating depressive episodes.”
Hormonal changes can impact mood when on a GLP-1 drug, according to experts. (iStock)
Obesity can also cause hormone shifts and inflammation that can interfere with normal brain function, sometimes affecting mood and emotional balance, the expert noted.
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Balazs stressed that experts should be “vigilant” in monitoring symptoms of people taking these medications.
“Until a protocol is established, patients outside clinical trials should not inject these medications,” he cautioned. “Dose and dose-related responses can change the whole experience.”
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