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Sun exposure, stress, and lack of skin maintenance can slow progress

Food and stomach acid remain in the stomach 3040% longer than normal, increasing intragastric pressure and the likelihood of lower esophageal sphincter relaxation

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People may find themselves needing more rest or simply feeling too unwell to think about sex

Individuals with restrictive eating disorders, fasting behaviors, or weight-driven purging may be at increased risk of symptom reactivation and are not appropriate candidates