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Furthermore, institutional adoption of structured, multi-barrier approachesincluding dietary modifications, pharmacologic interventions, and standardized airway managementmay help prevent such complications and optimize perioperative care for this growing patient population

INR monitoring should be individualized based on clinical factors, with particular attention during significant weight loss or dietary changes

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McCord et al., 2020

Its important to note that berberine can interact with other medications, so medical consultation is vital