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For example, the mean PGWBI score for patients with untreated erosive esophagitis is similar to that for patients with untreated duodenal ulcer and lower (ie, worse) than that for patients with angina pectoris or mild heart failure

Another consideration is dosage

Damaged nerve fibers fire spontaneously and excessively, generating the constant burning sensation even in the absence of any actual heat or injury

Supports Fat Metabolism Helps break down and eliminate fat, aiding in weight loss and improved body composition

As with all prescription medicines, this is a breach of the Human Medicines Regulations 2012 and is a matter for enforcement by the MHRA (Medicines and Healthcare products Regulatory Agency)