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Follow all presurgery instructions regarding food, alcohol, and medications

Still, if a patient has an underlying arrhythmia or heart disease, even small changes in heart rate could trigger palpitations or other symptoms

Zhang P et al

2019, Chu et al

Adherence to Standard Protocols and the Problem with One-Size-Fits-All Guidelines The Core of the Issue: The primary reason for refusal is that the GP surgery is typically following a strict protocol based on established guidelines