Dr.SurgeonPGH said:

Timing surgery and anaesthesia around surgery: my surgeon required me to stop GLP-1 agonists 3 weeks before my scheduled procedure due to aspiration…

That is right for the common case. Whether it is right for the case being asked about depends on a detail that has not been given.

Correct me if the detail matters more than I have assumed.

ben_calgary said:

Agreed, and coverage criteria are plan-specific rather than insurer-specific.

Thank you for spelling out the reasoning rather than just the conclusion. I will report back once I have actually tried it.

Dr.SurgeonPGH said:

Timing surgery and anaesthesia around surgery: my surgeon required me to stop GLP-1 agonists 3 weeks before my scheduled procedure due to aspiration…

This is where I part company with the consensus forming above. The affordability discussion here usually stops at individual tactics. At list price this class is out of reach for most of the people who would benefit, and no amount of appeal strategy changes that — it is a pricing problem wearing a paperwork costume.

The figures, for anyone assembling their own picture. Give anything pharmacological four weeks before you judge it, and give anything measured weekly a four-point rolling average before you call it a trend.

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Tagging this one for the weekly digest.