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Health, 26.07.2019 16:10 abelxoconda

A58-year-old man with obesity and a 1-year history of classic gerd symptoms has been on a therapeutic dose if a ppi for the past 6 months. he states he is “really no better with the medicine and i have cut out most of the food that bothers my stomach. i even cut out all alcohol and soda.” physical examination reveals stable weight, mildly erythematous pharynx, and epigastric tenderness without rebound. next step options include:

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