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We also think that an upper GI endoscopy is important for people who have severe heartburn or GERD (gastroesophageal reflux disease)

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Melasma is a chronic skin condition characterized by dark, irregular patches usually on the facecaused by increased melanin production

Potential contributing factors may include: Changes in gastrointestinal motility Dietary changes often accompanying weight loss efforts Individual digestive system responses to the medication It is important to note that whilst these gastrointestinal effects are common, they do not indicate that the medication is harmful to the digestive system

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