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Q: What should patients and doctors do to prevent these dangerous falls and fainting spells from happening

Damaged intestinal barrier can facilitate the development of local diseases such as irritable bowel disease, inflammatory bowel disease or celiac disease, but also the development of systemic inflammatory diseases such as rheumatoid arthritis, ankylosing spondylitis, hepatitis, and lupus erythematosus, neurodegenerative or psychiatric conditions, or metabolic diseases such as diabetes or obesity

This workaround helps some patients but leaves those with obesity alone without coverage

This is one of the most common questions patients ask, and the answer is usually reassuring

Avoid high-fat foods, citrus, chocolate, and spicy dishes at least 3 hours before bedtime, as these trigger acid secretion and impair the sphincter's ability to seal