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Do not use sterile water (which lacks preservative and must be used within 24 hours) or normal saline

Patients must understand warning signs and know when to seek care

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Doctors warn that such patients could put themselves at risk for potentially serious side effects, such as gastrointestinal issues and pancreatic damage, with little to no health benefits

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A previous report demonstrated respiratory failure due to morbid obesity and the need for long-term mechanical ventilation in a patient with PWS and concluded that weight reduction was important for weaning off a mechanical ventilator [5]