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295 , R2034R2040 (2008)

Surgery should be considered when conservative measures are insufficient: if symptoms persist despite acid blockers (so-called proton pump inhibitors, PPIs), a permanent surgical solution should be seriously considered

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BMI over 27 with a weight-related condition: This includes conditions like high blood pressure, type 2 diabetes, or high cholesterol

GHK-Cu at low concentrations is a powerful attractant for capillary cells that build new blood vessels, and a powerful migration stimulant for macrophages and mast cells that remove damaged cellular debris and secrete proteins important for wound contraction and tissue healing [8-9]

Functional medicines contribution is in identifying and correcting the systemic conditions that may be driving cochlear dysfunction, amplifying neural hyperexcitability, or making the auditory cortex more sensitive to aberrant signals