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56 Recently, an updated multispecialty guidance document (including the ASA) and a multidisciplinary consensus statement (including the Association of Anaesthetists and the Royal College of Anaesthetists) were released, adding to the controversy of periprocedural management of these patients

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Must-Know Detail Struggling with sleepless nights, persistent skin issues, or frequent laundry

It would appear prudent, however, to assume that (a) the co-ingestion of other nutrients in fish (such as taurine | see "Taurine Boosts Good Gut Bacteria" in the archives) and/or (b) the absence of general dysbiotic effects of increased fish consumption (and hence overall increases in TMAO exposure from choline sources) are at the heart of the cardio- and metabo-protective effects of fish (note: Saltwater fish contain 3 g/kg TMAO - the highest levels of all food sources | Mitchell 2002)

Avoiding late meals and allowing time for digestion before lying down can help reduce acid reflux and heartburn