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Take (1) Organic Gummies and (1) Vitamin C gummy TWICE daily

Rather than turning them away completely, we decided a weight management program would help them lose weight and if after the weight loss they did have too much leftover skin, we could help them with a body contouring procedure (like this before and after photo)

Alcohol: Excessive alcohol intake, particularly binge drinking, should be avoided during metformin treatment

This is the preprocedural fasting as described in ANZCA PG07 Pre-anaesthesia consultation Appendix 1 , especially where the recommendations apply to patients with a risk of delayed gastric emptying