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Pharmacological management options: According to the American College of Gastroenterology (ACG) guidelines, an 8-week trial of once-daily proton pump inhibitors (PPIs) such as omeprazole or esomeprazole is recommended as first-line therapy for typical reflux symptoms without alarm features

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Expectedly, the increase in PCWP during exercise was attenuated, but there was no change in peak VO 2

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Testosterone helps keep that tissue in place while the fat reduction proceeds

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