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The slowed gastric emptying they cause increases aspiration risk during anesthesia
194 people with Parkinsons disease participated in the trial across six research hospitals in the UK, including in London, Oxford, Plymouth, Salford and Edinburgh

pmid:12853567 42

Your prescriber submits documentation showing medical necessity: BMI 30+, or BMI 27+ with a comorbidity, and often proof that diet and exercise alone were insufficient
