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By improving insulin sensitivity and slowing gastric emptying, Semaglutide helps maintain more stable blood glucose levels

The intermittent fasting group saw significant reductions in IGF-1 after two months, with no change in the normal diet group

For persistent symptoms, treatment options include: Alginate preparations (such as Gaviscon) that form a protective barrier on top of stomach contents H2-receptor antagonists (such as ranitidine) that reduce acid production Proton pump inhibitors (PPIs) such as omeprazole or lansoprazole for more significant acid suppression NICE guidance supports a 48 week trial of PPIs for reflux symptoms, with periodic review for long-term use

Staying upright for 30 minutes after meals and avoiding strong food odors also helps