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systematic review of 13 studies encompassing 84,065 patients demonstrated significantly higher retained gastric contents rates (odds ratio 5.56, 95% confidence interval 3.359.23) but found no significant difference in actual aspiration rates (odds ratio 1.75, 95% confidence interval 0.644.77) [37]

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Mabuchi H, Nohara A, Inazu A

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[33] [34] However, too low and excessively high levels of choline may adversely affect fetal health and development

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