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Consequently, advisable to reconsider reviewing current proton pump inhibitor prescription and consider - - whether proton pump inhibitor prescription is still required, - if suppression of gastric acidity is still required then could it be managed with an H2 antagonist such as ranitidine (there is a general belief that they cause less nutritional harm than proton pump inhibitors)

A high hs-CRP result could reflect a respiratory infection or recent injury

Evaluate diet and activity patterns before considering dose increases

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The reconstructive patient, usually after volume loss in the late forties or fifties

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