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If you're evaluating patches anyway, the questions worth asking are the ones no patch brand answers well: Does the label state milligram amounts per patch

Standard OTC analgesics may help

Instead of three large meals, aim for 4-5 smaller meals throughout the day

GLP-1 receptors are expressed in various cardiovascular tissues, including the sinoatrial node, and direct cardiac effects cannot be excluded

If fasting guidelines are meant to minimize residual gastric contents then the clear guidance would be to have these patients undergo prolonged fasting from solid food