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Endocrinology 2012;153:64758

Dietary and lifestyle interventions include: Consuming smaller, more frequent meals rather than large portions that increase gastric distension Avoiding late evening meals and maintaining at least a 3-hour interval between dinner and bedtime Limiting foods that relax the lower esophageal sphincter (chocolate, peppermint, high-fat foods, caffeine, alcohol) Reducing acidic and spicy foods that may irritate the esophageal mucosa Elevating the head of the bed by 6-8 inches using blocks or a wedge pillow Maintaining upright posture for at least 2-3 hours after eating Avoiding tight-fitting clothing around the abdomen Smoking cessation (if applicable) Continuing weight loss efforts, as weight reduction is an evidence-based therapy for GERD [16] [21] Pharmacologic management may be necessary for persistent symptoms

These conditions can cause changes in the blood that make clots more likely

Theyll want to know about your pregnancy and will need to update your medical information to reflect the change in your current prescriptions

This makes sense given their ability to delay gastric emptying and reduce hunger or promote a feeling of fullness in the brain

The high price point of these medications creates a significant barrier for many who could benefit immensely