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The most sensitive sign of early dumping syndrome seems to be a rise in the pulse rate by more than 10 bpm after 30 min 1,17,20,67,68,85,86

If you have not seen meaningful weight loss after 3 months, review your diet, protein intake, and activity level with your provider

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Unlike more potent acids, these two are non-irritating and safe for daily use

Having a discussion with your healthcare provider is also very important to determine the best options available to you