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Though most people associate reflux symptoms with the kinds of the foods you eat, there are actually several factors that can contribute to a weak sphincter: temporary effects from foods like citrus or tomatoes, yes, but also hormonal changes from pregnancy, or from increased pressure on the LES (which is often caused by obesity)

Sauerbrei W, Meier-Hirmer C, Benner A, Royston P

The record feels brutal, Gonzalez says in a statement

adults are attributable to a combination of being overweight or obese, poor diet, physical inactivity, and excessive alcohol consumption (46)

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