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Particularly in older adults, evaluating frailty is crucial

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Foods to minimize or avoid include: Carbonated beverages, which introduce additional gas High-fiber foods initially (beans, cruciferous vegetables, whole grains), though fiber remains important long-term Artificial sweeteners, particularly sugar alcohols (sorbitol, xylitol), which can ferment in the gut Dairy products if lactose intolerance is present or suspected Fried or greasy foods that slow digestion Hydration remains essential, but patients should sip water throughout the day rather than consuming large volumes with meals, which can increase stomach distension

Obesity is a major risk factor for heart disease, and GLP-1 medications can help with weight loss

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