When the LES fails to close as it should, digestive enzymes and food fragments can travel back upward, leading to discomfort and swallowing difficulties
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Understanding what these claims mean helps assess product reliability
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However, the majority of validated GERD questionnaires use symptom-based questions similar to those in this study 35 and guidelines by the American College of Gastroenterology 36 support the clinical use of subjective symptoms and response to antacid therapy as a method of GERD diagnosis
Ask what symptoms should be evaluated first, whether labs or stool testing are appropriate, what the research actually supports, what is still unknown, how safety would be monitored, and how progress would be measured