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Schulman, MD, MPH, FASGE, an interventional and bariatric endoscopist and chief of endoscopy at Michigan Medicine, the ASAs guidance has led to cancellations and postponements of innumerable endoscopic procedures. We have required many patients to undergo general anesthesia who may otherwise have had their procedures performed under moderate sedation, which adds cost and clinical risk

Estrogens have been known and studied for over a century

| Douros, JD., et al

These symptoms often stem from disrupted gut bacteria and altered digestive patterns

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Cells were cultured for 4 days (mean SD, n = 3)