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This has real procedural implications: delayed gastric emptying increases aspiration risk during anesthesia and sedation, often requiring medication holds, changed fasting plans, or rescheduling procedures
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There is a suggestion from pooled data of increased rates of infections, specifically nasopharyngitis and urinary tract infections, which suggests a role for DPP-4 activity in normal immune surveillance, but whether this is clinically significant is still to be established
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