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Rise of processed foods : white flour, sugar, margarine, sodas, canned meals
Esophageal monitoring If you have persistent reflux symptoms for more than 3 months despite adequate treatment, or if you have alarm symptoms (difficulty swallowing, pain with swallowing, unintentional weight loss beyond therapeutic effects, anemia), endoscopic evaluation is appropriate
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Discussing the treatment with the patient, ordering and interpreting tests, and ongoing monitoring of the patients condition are all part of the practice of medicine
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