One of the most common reasons for stomach pain in the morning is acid reflux or gastroesophageal reflux disease (GERD)
10.2174/1381612824666180608101119 61 SikiricP.SeiwerthS.GrabarevicZ.RucmanR.PetekM.JagicV.et al (1997)

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The result is a steady, measurable decline in potency that becomes significant beyond the 30-day mark
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