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The acceleration window typically opens around weeks 8 to 12, when you have escalated to the higher doses (8mg or 12mg) and your body has adjusted to the compound

Perhaps the higher levels of progesterone may be supportive of cortisol production as a means of providing negative feedback to inhibit continued production of norepinephrine from the SNS

Two root issues kept showing up: Underlying dysmotility PPI use PPI is the bread and butter of GI and its throwing fire on the problem. Watch this clip from The Smartest Doctor in the Room to understand why your prescription might be part of the problemnot the solution

Many patients reduce or discontinue antacids as GLP-1 symptoms improve, but this decision must involve your healthcare provider