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In some cases, it may take more than one injection in various locations

The common drivers: A weak or loose LES A hiatal hernia (part of the stomach pushing up through the diaphragm) Eating large meals, especially within three hours of bed Excess abdominal weight pressing on the stomach Smoking (which relaxes the LES) Pregnancy Certain medications, including some blood pressure drugs and asthma inhalers I tell patients this all the time: if you have reflux and youve never had a proper workup, youre treating a symptom and ignoring the engine

Its common to have slight pain, tenderness, swelling, or redness at the injection site

The research was conducted with five subjects who received oral benfotiamine for 18 months

This has occured when people are desperately ill and havent the strength or the inclination to battle with their GP for correct treatment