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Professionals. Guidance notes on the Muslim fast during Ramadan The Muslim fast during the month of Ramadan provides  an opportunity for health professionals to promote  health improvement among Muslims by offering lifestyle  advice on topics such as diet and smoking cessation.        It is important to recognize  that the Muslim community,  like any other, is diverse. This results in differences of  perception and practice among Muslim patients. The  start of Ramadan advances 11 days every year as it is  based on a lunar calendar and will sometimes fall in the  summer months, resulting in a more onerous fast than  when it is in the winter months. In 2007 Ramadan starts  in mid-September.      Fasting during Ramadan is intended as a discipline and  requires abstinence from anything taken orally during  the hours of daylight, each consecutive day for a month.  This includes water and smoking. Bleeding will also  preclude the fast for that day. Fasti