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Like 503A pharmacies, compliance with USP 795, 797 and respective state boards of pharmacy are required

Delayed gastric emptying leaves food and liquid in the stomach longer, increasing stretch and chemical stimulus to visceral afferents that communicate with the brainstem nausea centers

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While sulfur burps are not specifically listed as a distinct adverse effect in formal clinical trial data, they represent a plausible manifestation of the medication's known impact on gastric emptying and digestive function