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Flynn, S., Toellner, K

Insulin-sensitive lean subjects (MHL) were identified by a Homeostatic Model Assessment-Insulin Resistance (HOMA-IR), with scores below 1.2, while insulin-resistant obese subjects (MUO) were identified by a HOMA-IR, with scores equal or greater than 2.5 (details are shown in Table 3)

The more clinically important question is how often this produces meaningful perioperative harm, which patients are at highest risk, and how clinicians should balance aspiration prevention against the metabolic, cardiovascular, logistical, and equity-related consequences of withholding therapy

Maintenance planning Stopping as soon as the scale moves is a typical mistake