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This is a chronic disease and it needs to be treated as a chronic disease, not just for six months or one year.

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Patients experiencing cyclic vomiting syndrome often report abdominal pain, inability to tolerate food or liquids, dizziness, fatigue, and metabolic complications associated with prolonged vomiting

It presents their discovery of a GLP-1 oral solution as a turning point in their NHS routine, implying that NHS staff themselves are using the product

I am curious to see what longer term studies on bigger sample size will show

Nor does it mean putting oneself out in the public eye (reviewing layperson summaries of grant applications is a critical service that can be done in isolation)