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This is harmful, but they think IT SAVES MONEY

Similar concerns apply to phosphodiesterase-5 inhibitors (medications like sildenafil) and L-arginine supplements that also influence nitric oxide signaling

Honestly, the risk-to-reward ratio for deep localized injections is a difficult calculation

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10.1053/gast.1997.v113.pm9247460 48 Sobczyska-MaleforaA.DelvinE.McCaddonA.AhmadiK

Further, evidence of the efficacy of prokinetics in the management of GERD is lacking