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Standard treatment metformin, the oral contraceptive pill, spironolactone manages symptoms

Keep the vial in a cool, dry place before reconstitution

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[9] Patients should be advised to contact their healthcare provider if they experience any severe or persistent side effects, such as difficulty breathing, chest tightness, severe rash, or dizziness

provide more extended relief for up to 12 hours Proton pump inhibitors : heal the esophagus and block acid production