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At the time, the finding seemed interesting but not especially groundbreaking

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Stability testing indicated that the known impurity Di-NAC is on oxidation impurity which needs to be strictly monitored during stability studies

For procedures involving sedation or general anesthesia , standard ASA fasting guidelines generally apply for most patients: Clear liquids are allowed up to 2 hours before sedation Light meals should be avoided for at least 6 hours before the procedure For patients identified as higher risk (those with active GI symptoms, in dose escalation, on high doses, or with known motility disorders), the anesthesia provider may recommend additional precautions such as: A 24-hour liquid-only diet before the procedure Point-of-care gastric ultrasound assessment where available Airway-protective strategies during sedation Patients should follow their dental provider's specific instructions, which may include: Taking essential medications (such as blood pressure or heart medications) with small sips of water as directed Maintaining adequate hydration with clear liquids up to the allowed time before the procedure Discussing any active GI symptoms with the dental team before sedation Current multi-society guidance does not recommend routinely holding semaglutide before procedures