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If you are dosing 0.25 mg weekly, a 5mg vial provides 20 doses, which is still far more than the 4 doses you can use within 28 days

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Clinicians often find that simple adjustments, such as smaller meals and avoiding late-night eating, can help reduce reflux symptoms during the early treatment phase

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Patients gain predictable support from medications and personalized coaching that reflect their individual challenges

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Shapsis sees many patients stop abruptly due to cost, travel, or medication shortage

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