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These clumps not only reduce the effectiveness of the medication but can also trigger unwanted immune reactions if injected

For more persistent reflux, your GP may recommend: Proton pump inhibitors (PPIs) such as omeprazole or lansoprazole, which reduce stomach acid production and are the first-line treatment for GORD according to NICE guidance, typically for 4-8 weeks with review

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Hormonal and Vascular Changes GLP-1 medications influence hormones that regulate insulin and glucagon, and they also affect how blood vessels respond to these hormones