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001). There was a risk of the low initial block height caused by either preoperative BMI less then 23, gestational age less then 37 weeks, or fetal birth weight less then 2500 g in the population.In a Japanese urban area, parturient median BMI undergoing cesarean delivery is in the normal range. Such lower BMI, in addition to less gestational age or underweight fetus, seems one of the factors causing the low initial block height upon spinal anesthesia.Although both metabolic syndrome (MetS) and irritable bowel syndrome (IBS) have been l