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Ozempic patients may face dangerous risks during surgery, doctors warn

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Ozempic patients may face dangerous risks during surgery, doctors warn

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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.

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This could lead to a potentially life-threatening condition called pulmonary aspiration, when food or liquid is inhaled into the lungs.

OZEMPIC AND WEGOVY COULD DOUBLE AS KIDNEY DISEASE TREATMENT, STUDY SUGGESTS

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)

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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.

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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 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. 

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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?’

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“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. 

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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.

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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.

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Does Metformin Help With Weight Loss? How To Maximize Your Results

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Does Metformin Help With Weight Loss? How To Maximize Your Results


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One common type of fat may increase diabetes risk, while another helps fight it

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One common type of fat may increase diabetes risk, while another helps fight it

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A new review suggests that the type of fat you eat may affect your risk of developing type 2 diabetes.

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin.

Meanwhile, monounsaturated fats rich in oleic acid — such as those found in olive oil — may help protect against insulin resistance, the review concluded.

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“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, told Fox News Digital. She was not involved in the review. 

“Oleic acid, on the other hand, is in higher concentration in foods like olive oil, canola oil, nuts, sunflower seeds, eggs, olive, avocados and also in meats (beef, chicken, pork), milk, cheese and pasta.”

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin. (iStock)

The review, which was published in the journal Trends in Endocrinology & Metabolism, was led by researchers from the University of Barcelona and the CIBER Area for Diabetes and Associated Metabolic Diseases (CIBERDEM) in Spain.

The findings suggest that fat quality may be more important than total fat quantity when it comes to metabolic health and diabetes risk.

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DIABETES RISK LINKED TO THESE ULTRAPROCESSED FOOD COMBINATIONS

This appears to support the idea that diets rich in monounsaturated fats, such as the Mediterranean diet, may contribute to lower rates of type 2 diabetes.

“Palmitic acid promotes several molecular processes that impair insulin action,” study investigator Dr. Manuel Vázquez-Carrera, from the Department of Pharmacology, Toxicology and Therapeutic Chemistry at the University of Barcelona, told Fox News Digital. 

“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” a nutritionist said. (iStock)

Too much palmitic acid can cause harmful fat byproducts to build up in the body, which can impair the body’s ability to respond to insulin, he warned. This makes it harder to control blood sugar and increases the risk of insulin resistance and type 2 diabetes.

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“It also promotes inflammation, oxidative stress, mitochondrial dysfunction and cellular stress responses, which contribute to insulin resistance and β-cell dysfunction,” Vázquez-Carrera added.

VITAMIN SUPPLEMENT MAY DELAY DIABETES IN SELECT GROUPS, RESEARCHERS SAY

By contrast, oleic acid – a hallmark of the Mediterranean diet – does not have these harmful effects, according to the researcher.

“In fact, oleic acid can counteract many of the detrimental effects triggered by palmitic acid, by promoting the storage of fatty acids in relatively inert triglycerides, preserving mitochondrial function and reducing inflammation,” he said.

“All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Freirich confirmed that the review is consistent with previous research supporting the use of olive oil in the diet for metabolic benefits.

“Also confirming previous research, the consumption of saturated fats is associated with some negative metabolic changes,” she told Fox News Digital.

THE WORST FOODS TO BUY IN THE SUPERMARKET AND THE BETTER CHOICES INSTEAD

Given the complexity of foods and diets, there is an overlap between foods that contain both types of fatty acids, the nutritionist noted. 

“Palmitic acid and oleic acid can both be found in olive oil, baked goods and fast foods, in differing amounts,” she said. “All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Study limitations

Vázquez-Carrera noted that these findings come from a review of numerous experimental, clinical and epidemiological studies rather than a single clinical trial.

“One important limitation is that much of the mechanistic evidence comes from cell culture and animal studies,” he said. 

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“Although these studies provide valuable insights into how specific fatty acids affect insulin signaling, further human intervention studies are needed to confirm the extent to which these mechanisms operate in everyday dietary settings.”

In addition, many of the human studies in the review relied on self-reported dietary intake, which can introduce inaccuracies. 

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Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, the researcher noted. (iStock)

“Another challenge is that people consume foods containing complex mixtures of fatty acids and bioactive compounds rather than isolated fatty acids,” Vázquez-Carrera added. “Therefore, it remains difficult to fully disentangle the specific contribution of individual fatty acids in free-living populations.”

Nutritional recommendations

The review’s findings appear to support current dietary recommendations that emphasize replacing part of the saturated fat intake with unsaturated fats, according to Vázquez-Carrera.

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“This means favoring dietary patterns rich in foods such as extra-virgin olive oil, nuts, seeds, legumes, vegetables, fruits and fish, while limiting excessive consumption of foods rich in saturated fats, especially highly processed foods,” he advised.

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The review does not suggest that a single nutrient alone determines diabetes risk, the researcher pointed out.

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“Rather, maintaining a healthy body weight, engaging in regular physical activity and following an overall healthy dietary pattern, such as the Mediterranean diet, remain fundamental strategies for preventing insulin resistance and type 2 diabetes.”

Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, Vázquez-Carrera noted.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, the review suggests. (iStock)

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“Future research should move beyond simply classifying fats as ‘good’ or ‘bad’ and instead focus on understanding how specific fatty acids, their dietary sources and their interactions within whole dietary patterns affect metabolic health,” he said.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, according to the researcher.

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“A simple takeaway for consumers is to swap out foods high in saturated fat more often with foods rich in heart-healthy fats, like olive oil, nuts and avocados, to better support blood sugar and metabolic health,” advised New Jersey-based registered dietitian Erin Palinski-Wade, who was also not involved in the review.

Anyone at a higher risk for type 2 diabetes should consult a healthcare provider for personalized guidance on nutrition, exercise and other preventive measures, experts say.

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

new video loaded: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

Early signs indicate that the species of Ebola behind the current outbreak in the Democratic Republic of Congo may have milder symptoms than past outbreaks. Our global health reporter Apoorva Mandavilli explains why this might actually make it more dangerous.

By Apoorva Mandavilli, Alexandra Ostasiewicz, Nikolay Nikolov, Stephanie Swart, Rafaela Balster and Lauren Pruitt

June 23, 2026

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