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Discoloration: Any shift toward a yellow, brown, or pink tint is a sign of chemical breakdown

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Surgeons also should consider using ultrasound to assess gastric volume and, if full or inconclusive, they should delay the procedure or treat patients as full-stomach. Treat and manage patients who require urgent or emergent procedures as full-stomach. In opposition to the ASAs statement, the AGA, AASLD, ACG, ASGE and NASPGHAN released a combined consensus statement encouraging gastroenterologists to follow best practices for endoscopy procedures

Diabetes Technol Ther 20(7):492500

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This modification is intended to allow the peptide to retain the functionality of the original protein but with a longer shelf life and lower clearance