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Doses escalated too quickly, inadequate education on side-effect management, limited screening for contraindications, and no real follow-up. The result, he said, is often significant nausea, vomiting, dehydration, constipation and fatigue, with some patients also experiencing anxiety and distress because they feel unwell and unsupported

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Garlic, raw onions, and strongly spiced dishes will not trigger reflux in everyone, but they often worsen symptoms in those already sensitive