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The main reason for stopping Jardiance before surgery is that the stress of surgery can cause blood sugar instability that leads to diabetic ketoacidosis, according to Mir Ali, MD, a bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in Fountain Valley, California

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[5] Recognising this pattern helps patients and clinicians approach plateau management with evidence-based strategies rather than frustration or premature treatment discontinuation