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Common symptoms of gastroparesis may include: Bowel obstruction is a condition in which the small intestine or large intestine becomes partially or completely blocked, preventing the normal movement of food, fluids, gas, and waste through the digestive tract
doi:10.1016/j.regpep.2004.07.009 68 RowlandKJBrubakerPL

The difference between shaking and rolling is the difference between creating foam (destructive) and gently redistributing the contents (safe)
A tiny drop of medication on the skin or the tip of the needle is usually nothing to worry about and does not mean you missed your dose
But for someone with a smaller percentage of their body weight to lose, or with health conditions, compounded medications might introduce unnecessary risk, she said

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