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Most commonly, this means insulin through multiple daily injections or an insulin pump, though some providers use metformin as an adjunct since its generally considered safe in pregnancy

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Some coffee preparations may be gentler on the stomach than others, such as cold brew, which some find less acidic

Heated the reaction mixture to 40-45C and stirred for 15 min at same temperature

The increased volume and pressure within the stomach may make it easier for acidic contents to flow back into the esophagus, especially in patients with pre-existing risk factors