Under general anesthesia your protective reflexes are switched off, so if food or fluid is still sitting in the stomach it can come back up and enter the lungs
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This contributes to improved post-meal blood glucose control and promotes a feeling of fullness, which may lead to reduced calorie intake
Breastfeeding is another situation where spironolactone is generally avoided, as there is limited data on its safety and potential effects on an infants electrolyte and hormone levels
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