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It was reported that plasma ghrelin concentration is markedly decreased following gastrectomy (54), but evidence to date shows conflicting results for the influence of Hp infection with or without eradication therapy on gastric ghrelin, and, in overall, the subject remains controversial (55, 56)

But counting can become stressful for others
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& Chan, K

Hence, the typical fasting protocol for a pre-operative patient may not be sufficient to clear the stomach of food contents
