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The laparoscopic antireflux procedure, namely Nissen fundoplication, has become a staple of the community surgeon, and outcomes are similar to those of the open approach

She's known for a conservative, natural-looking approach and an honest assessment of what will (and won't) get you the result you're after

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That is the maximum prescribed dose, typically reserved for patients who have been on tirzepatide for five months or longer and have gradually worked their way up through the entire tirzepatide dosing chart