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Dietary and lifestyle modifications form the foundation of heartburn management: Eat smaller, more frequent meals rather than large portions Avoid eating within 34 hours of lying down Elevate the head of the bed by 1520 cm using blocks or a wedge pillow Identify and avoid personal trigger foods (commonly citrus, tomatoes, chocolate, caffeine, alcohol, spicy or fatty foods) Maintain an upright posture during and after meals Avoid tight-fitting clothing around the abdomen Refrain from smoking, as tobacco weakens the lower oesophageal sphincter Pharmacological management may be appropriate for persistent symptoms

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As more research is conducted, we can expect to gain a better understanding of the long-term effects and benefits of semaglutide in managing insulin resistance

Albaugh VL, Banan B, Antoun J, et al

10.1016/0002-9149(68)90221-x 186 KisslingK