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Tissue fractionation studies
Body-composition tracking (e.g., MRI or DEXA in appropriate models) prevents over-reliance on scale weight
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If retained gastric contents are identified on ultrasound prior to the procedure, it is reasonable to use IV erythromycin (3 mg/kg) and then reassess gastric content with ultrasound prior to commencing the procedure (123)

A thoughtful medical review may include: Weight history and waist circumference A1C, fasting glucose, and insulin-resistance risk Cholesterol, triglycerides, and HDL levels Liver enzymes, including ALT and AST Platelet count and other markers used in fibrosis risk tools Kidney function Blood pressure Alcohol history Medication and supplement review History of gallbladder disease or pancreatitis Sleep apnea risk Current diet pattern and protein intake Strength training and activity level Prior ultrasound, CT, MRI, elastography, or liver specialist evaluation The result is a safer and more personalized plan
