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Acknowledgements The authors would like to acknowledge all members of the Obesity Integrated Responsibility Unit (CRI-O) group

This gives the muscle time to accommodate the fluid without causing that sharp, burning sensation many fear

Deficiency is common and may be associated with fatigue, cognitive changes, mood disturbance, and peripheral neuropathy

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Evidence Relying on anecdotal evidence can be misleading

Feeding and swallowing difficulties, which may require the insertion of a gastrostomy/feeding tube for adequate nutrition and to protect the airway from aspiration of milk/food/secretions