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Baseline measurements Participants were booked for a baseline visit with the study investigators (a licensed nurse, AJ, or a medical doctor, PaG) for oral and written study information, acquirement of consent, and snus cessation support (Appendix 1)

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The medications such as antacids, PPIs, or H2 blockers surgery, such as a gastric bypass endoluminal therapy In addition, the NLM advises that the following lifestyle modifications may help relieve the symptoms of GERD: weight loss, if a person has excess body weight avoiding meals for at least 3 hours before bedtime maintaining good sleep hygiene elevating the head when lying down Lifestyle changes are the primary treatment for GERD