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Comment: A commenter expressed concern that the proposed ASM scoring methodology does not adequately adjust for ASM participants treating patients with high clinical severity, such as frailty, device dependence, transplant candidacy, and multi-organ comorbidity

doi: 10.3389/fendo.2025.1711016 Received 23 September 2025 Revised 16 December 2025 Accepted 31 December 2025 Published 27 February 2026 Volume 16 - 2025 Edited by Antonio Simone Lagan, University of Palermo, Italy Reviewed by Hui Li, First Peoples Hospital of Changzhou, China Filipa Cristina Costa Ferreira, Instituto Nacional de Pesquisa Agropecuria e Veterinria (INIAV), Portugal Updates Copyright 2026 Xie, Zhang, Lin, Cheng and Huang

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Retrieved 9 November 2016

Therefore, until we have adequate evidence, we suggest following the current ASA fasting guidelines