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One of them is the Centers for Medicare and Medicaid Services (CMS) website

These can include: Upper abdominal cramping Bloating or gas Mild nausea If you have a very sensitive stomach or active gastritis alongside your reflux, these symptoms could be misinterpreted as a flare-up

(14) The mechanisms underlying this potential action might involve IGF-1-mediated suppression of muscle cell-specific enzymes referred to as E3 ubiquitin ligases, including atrogin-1 and muscle ring finger protein-1 (MuRF1)

Namun, beberapa efek samping ringan yang mungkin muncul antara lain: Gangguan pencernaan, seperti kembung, mual, atau diare Reaksi kulit ringan, misalnya ruam atau gatal