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Patients on long-term tirzepatide therapy (12+ months) with persistent reflux should undergo esophagogastroduodenoscopy (EGD) to assess for erosive changes or Barretts development, particularly if they have other risk factors like smoking, obesity, or family history of esophageal cancer
CBT helps you identify and challenge negative thought patterns, replacing them with more balanced and realistic ones
WJD 6:807
Genetics, lifestyle, age, and environment all play a role in ones GH secretion
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