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Roughly 1/3 get better because: weight loss in general can improve GERD or the patient had a hiatal hernia that we fixed during the sleeve (see below)

Use a smaller needle to reduce discomfort during the injection

Here, the glutathione is contained within a casing made from phospholipids, liposomes, which protect it from digestive secretions and ensure it completes its journey to the intestinal barrier in its reduced form (9)

Jumping from a 2.5 mg starting dose directly to a 10 mg dose mimics what happens in an overdose scenario: your GLP-1 and GIP receptors become flooded, and your body cannot process the signal safely

The trade-off is that the entire vial is consumed in a single 10mg dose, meaning you cannot use it for dose escalation across multiple weeks