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SGLT2 inhibitors (Jardiance, Farxiga) help the kidneys by reducing glucose and sodium reabsorption in the kidneys, lowering blood pressure, and reducing protein leakage in urine
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Patients could choose between mesh augmented hiatal repair (combined with a modified anterior hemifundoplication and fundophrenicopexy), Nissen fundoplication, and magnetic sphincter augmentation at their discretion
it could be mild with occasional relapses or severe with long-term issues that cause distress and harm
These recommendations rest on animal studies and practitioner observation rather than controlled human trials
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