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When uncertainty arises, early dermatology referral remains the safest approach

Long-term use of acid-suppressing medications carries significant risks, including nutritional deficiencies (particularly vitamin B12, magnesium, iron, and zinc), an increased risk of Helicobacter pylori infection, small intestinal bacterial overgrowth (SIBO), and stomach ulcers

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The dose-escalation protocol begins at 0.25 mg weekly and increases every four weeks to minimize gastrointestinal side effects and allow your body to adapt

Avoid alcohol as it can worsen both hypoglycemia risk and gastrointestinal symptoms