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However, many people can neither absorb nor use B12 because of issues in the complex absorption and metabolism of B12

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