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The evidence supports shared decision-making frameworks, where patient needs, procedure timeframes, and other management approaches, such as liquid diets, ultrasound evaluation of the stomach preoperatively, or anaesthetic modification tailored techniques, are considered primary drivers for care rather than rigid guidelines

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In conclusion, metabolic reliance on glutamine arises via the intrinsic functional diversity of glutamine, supporting macromolecule biosynthesis and reinforcing the TCA cycle

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