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Focus on smaller meals, weight loss if needed, and appropriate medications to address both the digestive symptoms and associated back discomfort

KLOW provides more comprehensive mechanism coverage

But the details around that daily dose matter enormously for effectiveness

Avoid drinking as your only evening activity

(B6, especially in the pyridoxine form, is one of the few B vitamins that can lead to toxicity when used in excess.) Threonine is also important to gut barrier integrity in the small intestine, and I have read some reports of it helping with minimizing reactions to gluten, although I have not studied this in great depth yet

Your physician determines appropriate dosing during your initial consultation