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Drinking with food fills you up before the food does, and on a stomach that is already emptying slowly that is a meaningful amount of your protein displaced by water
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Risk factors include older age (older than 50 years), hypertension (50% of patients) type 2 diabetes (25% of patients), hypercholesterolemia, stroke, ischemic heart disease, tobacco use, systemic arteriosclerosis and obstructive sleep apnea