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RSI if stomach not empty High tier straight RSI with cuffed ETT whatever the scan shows 4) Glycaemic Bridge: Continue basal insulin at 60-80 % and use CGM alerts throughout the pause Fertility-Benefit Rationale While GLP-1 receptor agonists (GLP-1RAs) offer promising fertility benefits, particularly in women with obesity or polycystic ovary syndrome (PCOS), the core rationale for brief, protocolized pauses stems from the need to safeguard airway safety during anaesthesia