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Chronic heartburn and GERD can lead to serious complications, including Barretts esophagus and esophageal cancer, if left unmanaged
A steady decline might indicate B12 depletion despite the supplementation in your formulation, caloric restriction that is too aggressive, or other nutritional gaps
But 13 hours is still short enough to require daily dosing
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If youre planning on contacting Jano to see if what they published on the site is indeed true, be sure to note the reference number at the bottom of the page
The medications impact on the gastrointestinal tract is the primary reason for this
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