However, these may be sufficient if you have only a small amount of skin laxity
When were going through insurance, there might be more things, requirements that have to be met. And hes frank about what drives most of the questions he gets: The biggest issue is usually cost and access. The practical takeaway cuts both ways
In the ED: Fasting history is unreliable Treat as higher aspiration risk especially if symptomatic Anticipate vomiting and difficult visualization Practical considerations: Optimize positioning (ramped, head elevated, or slight reverse Trendelenburg) Use RSI when appropriate Minimize bag-mask ventilation Ensure suction is immediately available and functioning
You may be able to think clearer and with better recall as pain symptoms reduce
It is a poor fit for pilot studies and one-off method development, where most of the vial would age in storage
*The exact neurochemical effects of CONTRAVE leading to weight loss are not fully understood