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This is where most people get stuck, and it is also where the right approach can make a meaningful difference

Patients with chronic kidney disease or those experiencing significant GI symptoms should be monitored appropriately

An important question to ask, and one we may never have a clear answer to, is what amount of residual gastric contents increases the risk of aspiration? Surely, type of gastric contents (liquid or solid) also matters

This doesn't mean it's ineffective

This is possible because these medications act through different mechanisms

A core theme of your review is that increased monitoring leads to the discovery of preexisting, indolent nodules