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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

Compounded versions: FDA-registered compounding pharmacies can produce tirzepatide and semaglutide at significantly lower cost, making these medications accessible to patients whose insurance does not cover the branded versions

Some patients may experience mild side effects like nausea, diarrhea, or constipation, but these often subside

Given semaglutide's appetite-suppressing effects, patients may benefit from consuming protein early in meals when hunger is greatest

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