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Kowitt SD, Osman A, Meernik C, et al

You should consider seeking medical evaluation if: Heartburn occurs more than twice per week Symptoms persist despite over-the-counter medications Reflux symptoms interfere with sleep You develop difficulty swallowing You experience unexplained weight loss Symptoms worsen over time You experience frequent regurgitation Persistent symptoms can indicate GERD, esophagitis, Barretts esophagus, or other digestive conditions that require specialist care

1 Three years later, the World Bank described corruption as the abuse of public office for private gain

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