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Long-term metformin therapy and vitamin B12 deficiency: an association to bear in mind
Injection site reactions Minor redness, tenderness, or slight swelling where you injected
Some peptides may require 10-15 minutes for full dissolution
doi: 10.1053/j.gastro.2017.02.016 128 GaridouLPomiCKloppPWagetACharpentierJAloulouMet al
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
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