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10.3109/21678421.2013.778548 283 RayP

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Its synthesis involves two main steps: the initial rate-limiting step is the hydroxylation of tryptophan to 5-hydroxytryptophan (5-HTP) by tryptophan hydroxylase (TPH), which occurs in both the CNS and peripherally

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For example, consider a 150-200 kcal protein pudding or a small savory broth with soft protein, rather than large meals that may trigger fullness

They also note that upper gastrointestinal symptoms alone should not be used to determine gastric content. In my opinion, these guidelines offer much better and clearer recommendations