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In customers that has an incomplete reaction, increasing the dosage, changing to an alternative sequestrant, use of loperamide and a minimal fat diet had been recommended. Suggestions for follow-up and also to enhance the total diligent experience were made. In situ simulation (ISS) is an effectual education method for multiprofessional groups working with problems in high pressured surroundings. A typical ISS programme was organised for the multiprofessional gastroenterology