[PMC free article: PMC5402659] [PubMed: 28438191] [CrossRef] 211
Tell the clinician about Leber hereditary optic neuropathy, cobalt allergy, kidney disease, pregnancy, breastfeeding, anemia, and all medicines or supplements
Medium-low heat works best
doi:10.1089/ars.2006.8.753 11
Lifestyle modifications should be the first-line approach and include: Eating smaller, more frequent meals rather than large portions that overwhelm the already-slowed digestive system Avoiding eating within 2-3 hours of bedtime to allow adequate time for gastric emptying before lying down Elevating the head of the bed by 6-8 inches using blocks or a wedge pillow to reduce nocturnal reflux Identifying and avoiding trigger foods such as caffeine, alcohol, chocolate, spicy foods, citrus, and high-fat meals Maintaining an upright posture for at least 2-3 hours after meals Wearing loose-fitting clothing that doesn't compress the abdomen Pharmacological management may be appropriate for patients with persistent symptoms despite lifestyle modifications
