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RV and KJ contributed to writing, reviewing and editing the manuscript, as well as validation and visualization

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When to STOP / HOLD Suspected pancreatitis Severe GI intolerance Rapid unexplained weight loss Severe dehydration Before major surgery / procedures where delayed gastric emptying is a concern Practical update: peri-procedural withholding recommendations have evolved over time and can vary by procedure, aspiration risk, and society guidance