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This condition is linked to the TCM principle that the liver governs the smooth flow of bodily processes, while the spleen is responsible for digestion and nutrient transport. Liver-stomach disharmony, often stemming from emotional stress or functional imbalance of the liver, can disrupt stomach function, leading to symptoms such as distension, pain, belching, and acid reflux

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Starting low and escalating gradually produced fewer gastrointestinal side effects than starting directly at a higher dose, which is why the 2mg +2mg-every-4-weeks schedule became the standard escalation approach in the published data

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