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This could be interpreted as alarming and signaling that we should lengthen NPO times, particularly in diabetic patients who may have undiagnosed gastroparesis, or it could potentially be seen as reassuring, indicating that maybe a low volume of gastric contents isnt as big of a risk factor for aspiration as once thought.1 The authors of this paper recommend that patients be fasted from solid food for 24 hours

Therefore, our awareness currently must be on monitoring new drugs which could provide a putative alternative to the current duopoly (as well as drugs that could reinforce the duopoly by resulting in either NVO or LLY or both having an oral alternative)