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Barker N, Ridgway RA, van Es JH, van de Wetering M, Begthel H, van den Born M, et al

The maximum suppression of melatonin comes at around 305 lux this would be similar to very bright indoor lighting

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Clinical bottom line: This sequential framework, beginning with documentation of GLP-1 RA exposure, followed by symptom assessment, procedural risk stratification, implementation of extended clear-liquid fasting, selective use of gastric ultrasonography, and reserving drug withdrawal for rigorously defined indications, harmonizes current pathophysiological understanding with the best available evidence and major society recommendations