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mild diarrhea (Cleveland Clinic)

213 Given the increasing rates of GLP-1 prescriptions and the relatively well-studied efficacy of GMVs in supporting lifestyle behaviors, combining the 2 may provide synergistic benefits

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Smoking also reduces saliva production that normally helps neutralize refluxed acid and clear it back to the stomach

The Utah Early Neuropathy Scale (UENS) focuses on small-fiber signs and pinprick testing, showing sensitivity of 78% and specificity of 85%, while the DN4 questionnaire targets neuropathic pain features with 83% sensitivity and 90% specificity, exceeding the NDS for painpredominant presentations (see Table 4)