NMDA receptor activity downregulates KCC2 resulting in depolarizing GABAA receptor-mediated currents
Common side effects include fluid retention (swelling in the legs or ankles), weight gain, and an increased risk of bone fractures
Recommendation: Endotracheal intubation or rapid-sequence induction should be used for high-risk procedures such as EUS, ERCP, bariatric endoscopy, or any sedated intervention where sonographic RGC is present
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Additionally, any significant weight loss typically includes lean mass loss alongside fat, a clinically meaningful risk that requires protein guidance from a registered dietitian and resistance-training support
Wegovy (Semaglutide) for Subcutaneous Use: Prescribing Information