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Dermatology and Therapy, 11 (4), 1385

Critically, animal studies show no evidence of hallucinations, dependence, or tolerance development with PE-22-28 administration

Your body then has to put it back together, which is an inefficient process

If evening is when you experience the most significant heartburn, shifting your largest meal to midday and having a smaller, lower-fat meal in the early evening gives your stomach more time to partially empty before you recline