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MANAGEMENT IN PERSISTENT OR RECURRENT MTC Since the ATA guidelines were published in 2015, treatment guidelines for MTC have been updated to reflect the results of recent research and novel conceptions

Over the past few years, there has been an increasing discussion about the potential cardiovascular benefits of sodium-glucose cotransporter 2 inhibitors (SGLT2Is) and glucagon-like peptide-1 receptor agonists (GLP-1RAs)

We recommend that patients taking GLP- 1 RAs with significant symptoms be referred to their prescribing physician for diet and medication modification before proceeding with elective procedures requiring anaesthesia (Grade E)

These FDA-approved medications work systemically through receptor activation rather than requiring gallbladder function, making them viable options for patients without this organ

This is one reason anorexia can be so deceptive

At Atrium, that means we do not start with a medication menu