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It can indicate gastroparesis, which is a more severe form of delayed gastric emptying where the stomach essentially stops functioning normally

Aspirin can independently irritate the stomach lining and increase gastrointestinal upset, particularly at high doses or on an empty stomach

Timing considerations KLOW can be administered at any time of day, but most protocols recommend morning dosing

Whichever you decide on, the idea is to place the correct amount under your tongue and let it dissolve completelywithout swallowing (UMichigan Health Library, 2018)