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When food remains in the stomach for extended periods of time, patients may develop severe nausea, vomiting, dehydration, malnutrition, abdominal swelling, and painful digestive complications requiring hospitalization or emergency treatment

Some very fair-skinned individuals self-report needing higher cumulative doses

Bodyweight exercises, resistance bands, or dumbbells at home provide sufficient stimulus

moreover, only a fraction of the normal gastric volume can be accommodated due to the greatly reduced gastric lumen

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Carson NA, Cusworth DC, Dent CE, Field CM, Neill DW, Westall RG