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Thats not good enoughespecially when your system is more sensitive than usual

doi: 10.1016/j.mayocp.2017.12.003 50 MagnussonIRothmanDLKatzLDShulmanRGShulmanGI

A history of severe reflux, bariatric surgery, opioid use, Parkinson disease, scleroderma, gastric outlet obstruction, or long-standing diabetes should raise suspicion for baseline motility impairment

Wanner C, Inzucchi SE, Lachin JM, Fitchett D, von Eynatten M, Mattheus M, Johansen OE, Woerle HJ, Broedl UC, Zinman B
