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These include a 24-hour liquid-only diet before the procedure, point-of-care gastric ultrasound immediately before anesthesia when available, adjustment of the anesthesia plan to reduce aspiration risk, and delaying elective procedures when risk is expected to decrease, such as after the dose-escalation phase or resolution of gastrointestinal symptoms

55 Lifestyle factors such as smoking, excessive alcohol consumption, and physical inactivity are linked to DN development, exacerbating oxidative stress and vascular dysfunction

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At this intensity, glutathione aggressively suppresses melanin production while vitamin C enhances absorption and antioxidant activity

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