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If fasting guidelines are instead meant to minimize aspiration events without respect to residual gastric contents, then I think we need to start questioning what amount of residual gastric contents (and what type) are clinically significant.2 Oprea and colleagues published a correspondence this month addressing some of the criticisms of their article

Candida-driven gut permeability allows molecular mimicry between Candida cell wall proteins and thyroid peroxidase (TPO) a key enzyme in thyroid hormone synthesis