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Patients typically report increased mental clarity, reduced fatigue, and a sense of physical lightness early in the protocol

The guidelines state, Anesthesiologists should recognize that these conditions can increase the likelihood of regurgitation and pulmonary aspiration and should modify these guidelines based upon their clinical judgment. A previous version states, The guidelines may not apply to, or may need to be modified for, patients with coexisting diseases or conditions that can affect gastric emptying or fluid volume (e.g., pregnancy, obesity, diabetes, hiatal hernia, gastroesophageal reflux disease, ileus or bowel obstruction, emergency care, or enteral tube feeding) and patients in whom airway management might be difficult. Requiring patients to abstain from food for longer than 8 hours, even if the optimal duration was unknown, would have been the most cautious approach, even if it was unenjoyable for patients

This is usually due to symptoms like night sweats and hot flashes that cause you to wake up more frequently during the evening

However, seek immediate medical attention if severe or persistent abdominal pain occurs, as this may indicate Pancreatitis