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A key player is the cervix

Jastreboff A, Aronne L, Ahmad N et al

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

Food supplements should not replace a varied and balanced diet and a healthy lifestyle

Patients with active scalp infections, certain autoimmune conditions, active malignancy, pregnancy, or unrealistic expectations are typically not candidates and are screened at the consultation