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This book answered that. Sarah Burgoyne

If this reflux happens frequently, however, its considered GERD a more severe and long-lasting condition in which acid reflux causes repeated symptoms that are bothersome or lead to complications over time

D.HillC

Patients should also be aware of rare but serious risks including pancreatitis, gallbladder disease, and potential worsening of diabetic retinopathy, particularly with rapid improvement in glucose control