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January 2026 update more nuanced approach: If patient is on GLP-1 for diabetes management do NOT simply hold without endocrinology input glycaemic consequences may outweigh aspiration risk

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observed a high frequency of promoter hypermethylation and progressive loss of GPx3 expression in Barretts esophagus and its associated lesions, and these authors also confirmed the known function of GPx3 as a potent antioxidant [54]

That's mostly because we plan to indulge as much as possible without derailing the plan

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