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This is because the longer food and acid remain in the stomach, the greater the chance for them to move back up into the esophagus, especially when the lower esophageal sphincter is weakened or relaxes inappropriately

Lifestyle factors interact with medication

For women who are specifically navigating perimenopause or menopause and want a more integrated approach to hormones and metabolic health, Join Josie offers a structure thats more specialized around this specific stage of life

By addressing the underlying metabolic dysfunction through nutrition, gut health, hormonal balance, and lifestyle change, we work to establish lasting metabolic improvements that can support weight maintenance even after therapy concludes