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If fasting guidelines are instead meant to minimize aspiration events without respect to residual gastric contents, then I think we need to start questioning what amount of residual gastric contents (and what type) are clinically significant.2 Oprea and colleagues published a correspondence this month addressing some of the criticisms of their article

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(3) These hormones play a crucial role in various physiological processes, including muscle growth, fat metabolism, bone density, and immune system function

Rothman, D

However, we recommend cycling every 90 days with a 30-day break to avoid tolerance

Side effects are minimal and may include mild discomfort at the injection site