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You can minimize it by waiting a few seconds before withdrawing the needle.

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It can identify a severe motility disturbance such as achalasia or connective tissue disease, and some surgeons want confirmation of a weak LES (if present)

Yasuno F, Nakagome K, Omachi Y et al (2025) Leptin and inflammatory pathways in the Alzheimers disease continuum: implications for glial activation and neuropsychiatric symptoms