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When initiating a stool softener, start with the lowest effective dose and increase gradually if needed

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When food remains in the stomach for longer periods, there is an increased opportunity for stomach contents to reflux into the oesophagus, particularly if the lower oesophageal sphincter is weakened

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If you decide you want to limit added sugars and non-nutritive sweeteners, kombucha or a probiotic soda may be good alternatives.

I get a lot of pushback on that from physicians saying, Why would you want to burden a patient with that knowledge? I welcome that debate because it opens a discussion: Do you or do you not believe that this a deterministic gene