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Practical steps for safe resumption include: Obtain explicit approval from your surgeon or diabetes specialist before administering the first post-operative dose Ensure you can tolerate normal meals and fluids without nausea, vomiting, or significant discomfort Administer the injection at the same day each week as before surgery to maintain consistency Start with smaller, frequent meals for the first few days after restarting to assess tolerance Stay well-hydrated , as dehydration can worsen potential side effects Your healthcare provider may schedule a follow-up appointment within 12 weeks of restarting to assess your tolerance, review blood glucose readings, and adjust the dose if necessary

170 However, in rodents, ghrelin mediates insulinostatic actions via direct mechanisms

Sip steadily rather than chugging

Hold under the tongue for 5 minutes before swallowing
