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We were surprised by our findings given many case reports of patients who had recently taken GLP-1 receptor agonists and had a large volume of gastric contents found under anesthesia, even if they had appropriately withheld these medications and fasted for the recommended times before surgery, said Anjali Dixit, MD, MPH, a pediatric anesthesiologist and clinical and postdoctoral scholar in anesthesiology, perioperative and pain medicine at Stanford Medicine