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It swings wildly, sometimes surging above premenopausal levels before crashing, and this volatility is often more disruptive than the eventual decline itself

Diagnosis: Endoscopy remains the gold standard

Many patients choose to have maintenance treatments once or twice yearly after completing their initial series to preserve results and continue stimulating healthy collagen production

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"Imagine if we treated high blood pressure this way: Tell patients just eat less saltand then waiting until they need heart surgery," the Republican lawmaker said

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