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Contribution statement AMH designed the study, interpreted the data and contributed to the discussion and development of the manuscript

Every prescription flows through licensed pharmacies, every patient receives a telehealth consultation with a qualified prescriber, and every product is traceable to its pharmacy source

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If burping and associated symptoms significantly impair quality of life or interfere with treatment adherence, patients should discuss this with their provider rather than discontinuing medication independently

When food intake drops sharply, the body may pull from both fat stores and lean tissue

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