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In addition, it has been found that inflammation can induce GERD by decreasing the function of the upper laryngeal-esophageal sphincter and pharyngeal-esophageal sphincter receptors (67)

When started low and titrated properly, side effects like nausea, vomiting, or diarrhea are typically mild and temporary, resolving as your body adjusts

You may benefit from a follow up visit if you notice rapid weight regain, significant appetite changes, or uncertainty about how to structure maintenance

Men over 60 might want to think over learning about L-citrulline as an option

Most patients tolerate both therapies well when administered under clinical supervision