Importantly, our findings, which were developed by an international group of experts from countries with different healthcare systems and GBT patient access requirements, are closely aligned with the recommendations of a 2025 joint advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and the Obesity Society [129], which did not report a consensus-based approach
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Eat smaller, more frequent meals, avoid lying down for 23 hours after eating, elevate the head of your bed, identify trigger foods to avoid, and consider over-the-counter antacids or H2-blockers for mild symptoms
Week 1 (optional): 1 mg (1000 mcg) once daily to assess tolerability