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The common drivers: A weak or loose LES A hiatal hernia (part of the stomach pushing up through the diaphragm) Eating large meals, especially within three hours of bed Excess abdominal weight pressing on the stomach Smoking (which relaxes the LES) Pregnancy Certain medications, including some blood pressure drugs and asthma inhalers I tell patients this all the time: if you have reflux and youve never had a proper workup, youre treating a symptom and ignoring the engine

10.1016/j.lfs.2024.122671 76 ElnosaryM

Dietary deficiency Vegans can develop vitamin B12 deficiency because vitamin B12 is most often found in animal products

In some cases, it may take more than one injection in various locations

This has occured when people are desperately ill and havent the strength or the inclination to battle with their GP for correct treatment

A dosage chart specific to your vial concentration is the safest reference tool