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It is also important to contact your healthcare provider if heartburn symptoms significantly impact quality of life or medication adherence

How we practice precision based medicine is we'll look at advanced blood chemistry, we'll look at the stool, we'll couple that often with food, which is often overlooked, and then a nutrigenomic test to see, okay, where there are holes in someone's biology, plug those holes to mitigate any sort of predisposition and risk factors

For patients with unusual weight (such as morbid obesity), it may be helpful to check a phenobarbital level 2 hours after the initial loading dose (to confirm an adequate level was achieved and to calculate V D )

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