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In emergency settings, where fasting status is often unknown and risk tolerance is low, these considerations further reinforce the need for protected airway management, rather than reliance on SGAs [39]

These factors are frequently compounded by subsequent pregnancies or further weight gain, which is why the pouch tends to be more pronounced after multiple C-sections

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Unlike prescription GLP-1 receptor agonists such as semaglutide, berberine is an unlicensed food supplement with modest clinical effects and variable product quality

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